The holder whose full name is JAHAN, MUMTAZ,come from Lamar MO,hold the Physician license(NO.01050256A) which status is Expired Non-Renewable.
| Name | JAHAN, MUMTAZ |
|---|---|
| License Number | 01050256A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | Lamar |
| State | MO |