The holder whose full name is Bertram, Michael,come from Winston Salem NC,hold the Physician license(NO.01065012A) which status is Expired Non-Renewable.
| Name | Bertram, Michael |
|---|---|
| License Number | 01065012A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | Winston Salem |
| State | NC |