The holder whose full name is BAXLA, MARVIN EDGAR,come from FT LAUDERDALE FL,hold the Dentist license(NO.12004820A) which status is Expired.
| Name | BAXLA, MARVIN EDGAR |
|---|---|
| License Number | 12004820A |
| License Type | Dentist |
| License Status | Expired |
| City | FT LAUDERDALE |
| State | FL |