The holder whose full name is DaValle, Brandon Lawrence,come from San Diego CA,hold the Osteopathic Physician license(NO.02003240A) which status is Expired.
| Name | DaValle, Brandon Lawrence |
|---|---|
| License Number | 02003240A |
| License Type | Osteopathic Physician |
| License Status | Expired |
| City | San Diego |
| State | CA |