The holder whose full name is POWELL, ISAAC JACKIE,come from DETROIT MI,hold the Physician license(NO.01022846A) which status is Expired Non-Renewable.
| Name | POWELL, ISAAC JACKIE |
|---|---|
| License Number | 01022846A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | DETROIT |
| State | MI |