The holder whose full name is Lagunzad, Edward P.,come from Evansville IN,hold the Medical Residency Permit license(NO.11007425A) which status is Expired.
| Name | Lagunzad, Edward P. |
|---|---|
| License Number | 11007425A |
| License Type | Medical Residency Permit |
| License Status | Expired |
| City | Evansville |
| State | IN |