The holder whose full name is Fisch, Michael Jordan,come from Earlysville VA,hold the Physician license(NO.01041880A) which status is Expired Non-Renewable.
| Name | Fisch, Michael Jordan |
|---|---|
| License Number | 01041880A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | Earlysville |
| State | VA |