The holder whose full name is Block, Melvin A.,come from SAN DIEGO CA,hold the Physician license(NO.01014604A) which status is Expired Non-Renewable.
Name | Block, Melvin A. |
---|---|
License Number | 01014604A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | SAN DIEGO |
State | CA |