The holder whose full name is LEVIN, KENNETH ALAN,come from RIDGEWOOD NJ,hold the Physician license(NO.01032595A) which status is Expired Non-Renewable.
Name | LEVIN, KENNETH ALAN |
---|---|
License Number | 01032595A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | RIDGEWOOD |
State | NJ |