The holder whose full name is SMALLEY JR, JOHN JAMES,come from LACROSSE WI,hold the Physician license(NO.01020593A) which status is Expired Non-Renewable.
Name | SMALLEY JR, JOHN JAMES |
---|---|
License Number | 01020593A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | LACROSSE |
State | WI |