The holder whose full name is Mirza, Aijaz Mohammed,come from WABASH IN,hold the Physician license(NO.01040888A) which status is Expired Non-Renewable.
| Name | Mirza, Aijaz Mohammed |
|---|---|
| License Number | 01040888A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | WABASH |
| State | IN |