The holder whose full name is PAVLICK, THEODORE JOSEPH,come from VANCOUVER WA,hold the Physician license(NO.01019285A) which status is Expired Non-Renewable.
| Name | PAVLICK, THEODORE JOSEPH |
|---|---|
| License Number | 01019285A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | VANCOUVER |
| State | WA |