The holder whose full name is KORN, GEOFFREY BRIAN,come from E CHICAGO IL,hold the Physician license(NO.01034996A) which status is Expired Non-Renewable.
Name | KORN, GEOFFREY BRIAN |
---|---|
License Number | 01034996A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | E CHICAGO |
State | IL |