The holder whose full name is BAISAS, WILFRIDO C,come from LONGVIEW TX,hold the Physician license(NO.01021075A) which status is Expired Non-Renewable.
| Name | BAISAS, WILFRIDO C |
|---|---|
| License Number | 01021075A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | LONGVIEW |
| State | TX |