The holder whose full name is ACOSTA, WILLIAM ROOSEVELT,come from JOHNSTOWN PA,hold the Physician license(NO.01045801A) which status is Expired Non-Renewable.
| Name | ACOSTA, WILLIAM ROOSEVELT |
|---|---|
| License Number | 01045801A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | JOHNSTOWN |
| State | PA |