The holder whose full name is Lariviere, Gene Robert,come from IOWA CITY IA,hold the Physician license(NO.01038185A) which status is Expired Non-Renewable.
Name | Lariviere, Gene Robert |
---|---|
License Number | 01038185A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | IOWA CITY |
State | IA |