The holder whose full name is Forcum, Theodore Lawrence,come from Beaverton OR,hold the Limited Scope Chiropractor license(NO.99021731A) which status is Expired Non-Renewable.
Name | Forcum, Theodore Lawrence |
---|---|
License Number | 99021731A |
License Type | Limited Scope Chiropractor |
License Status | Expired Non-Renewable |
City | Beaverton |
State | OR |