The holder whose full name is Fishman, Michael Scot,come from Pueblo CO,hold the Physician license(NO.01042114A) which status is Expired Non-Renewable.
| Name | Fishman, Michael Scot |
|---|---|
| License Number | 01042114A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | Pueblo |
| State | CO |