The holder whose full name is NUSSDORF, JONATHAN DAVID,come from River Ridge LA,hold the Physician license(NO.01044762A) which status is Expired Non-Renewable.
Name | NUSSDORF, JONATHAN DAVID |
---|---|
License Number | 01044762A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | River Ridge |
State | LA |