The holder whose full name is Prentice, Jeannette Ellen,come from Royal Oak MI,hold the Physician license(NO.01056249A) which status is Expired.
| Name | Prentice, Jeannette Ellen |
|---|---|
| License Number | 01056249A |
| License Type | Physician |
| License Status | Expired |
| City | Royal Oak |
| State | MI |