The holder whose full name is Afaneh, Bassam Ahmad,come from Grand Blanc MI,hold the Physician license(NO.01066451A) which status is Expired Non-Renewable.
| Name | Afaneh, Bassam Ahmad |
|---|---|
| License Number | 01066451A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | Grand Blanc |
| State | MI |