The holder whose full name is Kadlecek, Timothy David,come from Portland OR,hold the Osteopathic Physician license(NO.02001979A) which status is Expired Non-Renewable.
Name | Kadlecek, Timothy David |
---|---|
License Number | 02001979A |
License Type | Osteopathic Physician |
License Status | Expired Non-Renewable |
City | Portland |
State | OR |