The holder whose full name is Lipp, Michael Jordan,come from New York NY,hold the Physician license(NO.01067038A) which status is Expired Non-Renewable.
| Name | Lipp, Michael Jordan |
|---|---|
| License Number | 01067038A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | New York |
| State | NY |