The holder whose full name is MOHEIMANI, ASSAD M,come from SHELBYVILLE IN,hold the Physician license(NO.01043148A) which status is Expired Non-Renewable.
Name | MOHEIMANI, ASSAD M |
---|---|
License Number | 01043148A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | SHELBYVILLE |
State | IN |