The holder whose full name is ADDIS, HOWARD MICHAEL,come from SAULT STE MARIE MI,hold the Physician license(NO.01024782A) which status is Revoked.
Name | ADDIS, HOWARD MICHAEL |
---|---|
License Number | 01024782A |
License Type | Physician |
License Status | Revoked |
City | SAULT STE MARIE |
State | MI |