The holder whose full name is DeSousa, Jose Ulysses,come from DEARBORN MI,hold the Physician license(NO.01023856A) which status is Expired Non-Renewable.
Name | DeSousa, Jose Ulysses |
---|---|
License Number | 01023856A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | DEARBORN |
State | MI |