The holder whose full name is ELLSASSER, MICHAEL GORDON,come from LUBBOCK TX,hold the Physician license(NO.01018324A) which status is Expired Non-Renewable.
| Name | ELLSASSER, MICHAEL GORDON |
|---|---|
| License Number | 01018324A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | LUBBOCK |
| State | TX |