The holder whose full name is JOHNSON, MICHAEL LEWIS,come from WHITINSVILLE MA,hold the Physician license(NO.01022205A) which status is Expired Non-Renewable.
Name | JOHNSON, MICHAEL LEWIS |
---|---|
License Number | 01022205A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | WHITINSVILLE |
State | MA |