The holder whose full name is GIANNINI, JACK THOMAS,come from FPO NY NY,hold the Physician license(NO.01024120A) which status is Expired Non-Renewable.
| Name | GIANNINI, JACK THOMAS |
|---|---|
| License Number | 01024120A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | FPO NY |
| State | NY |