The holder whose full name is TAMVAKIS, NICHOLAS,come from HAZEL CREST IL,hold the Physician license(NO.01027219A) which status is Expired Non-Renewable.
Name | TAMVAKIS, NICHOLAS |
---|---|
License Number | 01027219A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | HAZEL CREST |
State | IL |