The holder whose full name is OGDEN, L LAZARRE,come from Salt Lake City UT,hold the Medical Residency Permit license(NO.11006461A) which status is Expired.
| Name | OGDEN, L LAZARRE |
|---|---|
| License Number | 11006461A |
| License Type | Medical Residency Permit |
| License Status | Expired |
| City | Salt Lake City |
| State | UT |