The holder whose full name is CORNOG JR, JOHN LAURENCE,come from MIDDLETOWN CT,hold the Physician license(NO.01023247A) which status is Expired Non-Renewable.
Name | CORNOG JR, JOHN LAURENCE |
---|---|
License Number | 01023247A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | MIDDLETOWN |
State | CT |