The holder whose full name is HIRSCH, THEODORE,come from SYRACUSE IN,hold the Physician license(NO.01025003A) which status is Expired Non-Renewable.
| Name | HIRSCH, THEODORE |
|---|---|
| License Number | 01025003A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | SYRACUSE |
| State | IN |