The holder whose full name is SHELBY, MELRIDGE R,come from EAGAN MN,hold the Physician license(NO.01029356A) which status is Expired Non-Renewable.
Name | SHELBY, MELRIDGE R |
---|---|
License Number | 01029356A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | EAGAN |
State | MN |