The holder whose full name is DEGRAFFENRIED, THOMAS P,come from DEKALB IL,hold the Physician license(NO.01020050A) which status is Expired Non-Renewable.
Name | DEGRAFFENRIED, THOMAS P |
---|---|
License Number | 01020050A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | DEKALB |
State | IL |