The holder whose full name is MICHAELIS, KYLE J,come from Fairfield CA,hold the Physician license(NO.01052591A) which status is Expired Non-Renewable.
Name | MICHAELIS, KYLE J |
---|---|
License Number | 01052591A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | Fairfield |
State | CA |