Washington
Pierce
Puyallup
Family Medicine
canceled
G17263
male
1965
medical activities:
no activities identified
license issued on August 22, 1969;
Ophthalmologist
Northwestern University Medical School (graduated in 1965)
Graduated in year 1965, Medical School: Northwestern University Medicine School, Chicago, IL 60611
No affiliations
No associations
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Profile ID: FRUS-MDS-P-43785