The holder whose full name is MINI, LOUIS JAMES,come from WESTERN SPRINGS IL,hold the Physician license(NO.01041540A) which status is Expired Non-Renewable.
Name | MINI, LOUIS JAMES |
---|---|
License Number | 01041540A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | WESTERN SPRINGS |
State | IL |