The holder whose full name is Bronfine, Boris I.,come from Indianapolis IN,hold the Physician license(NO.01062160A) which status is Expired Non-Renewable.
| Name | Bronfine, Boris I. |
|---|---|
| License Number | 01062160A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | Indianapolis |
| State | IN |