The holder whose full name is Tate, Thomas Dale,come from WILMINGTON NC,hold the Physician license(NO.01021250A) which status is Inactive/Expired.
| Name | Tate, Thomas Dale |
|---|---|
| License Number | 01021250A |
| License Type | Physician |
| License Status | Inactive/Expired |
| City | WILMINGTON |
| State | NC |