The holder whose full name is Favetto, Juan Martin,come from Lexington KY,hold the Medical Residency Permit license(NO.11007655A) which status is Expired.
| Name | Favetto, Juan Martin |
|---|---|
| License Number | 11007655A |
| License Type | Medical Residency Permit |
| License Status | Expired |
| City | Lexington |
| State | KY |