The holder whose full name is NIEDERMAYER, ALFRED J,come from EVANSVILLE IN,hold the Physician license(NO.01013612A) which status is Expired Non-Renewable.
Name | NIEDERMAYER, ALFRED J |
---|---|
License Number | 01013612A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | EVANSVILLE |
State | IN |