The holder whose full name is HERMAN, JAMES JAY,come from HIGHLAND PARK IL,hold the Physician license(NO.01032890A) which status is Expired Non-Renewable.
Name | HERMAN, JAMES JAY |
---|---|
License Number | 01032890A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | HIGHLAND PARK |
State | IL |