The holder whose full name is BERNAL JR, JOSE B,come from DES PLAINES IL,hold the Physician license(NO.01027279A) which status is Expired Non-Renewable.
Name | BERNAL JR, JOSE B |
---|---|
License Number | 01027279A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | DES PLAINES |
State | IL |