The holder whose full name is HOLLOPETER, WAYNE L,come from GRANGEVILLE ID,hold the Physician license(NO.01023901A) which status is Expired Non-Renewable.
| Name | HOLLOPETER, WAYNE L |
|---|---|
| License Number | 01023901A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | GRANGEVILLE |
| State | ID |