The holder whose full name is Berneking, Michael William,come from Grand Rapids MI,hold the Physician license(NO.01058986A) which status is Expired Non-Renewable.
| Name | Berneking, Michael William |
|---|---|
| License Number | 01058986A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | Grand Rapids |
| State | MI |