The holder whose full name is BRANDT, IRA KIVE,come from SANTA BARBARA CA,hold the Physician license(NO.01023610A) which status is Expired Non-Renewable.
Name | BRANDT, IRA KIVE |
---|---|
License Number | 01023610A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | SANTA BARBARA |
State | CA |