The holder whose full name is KOTAS, WALTER S,come from BREMERTON WA,hold the Physician license(NO.01021978A) which status is Expired Non-Renewable.
Name | KOTAS, WALTER S |
---|---|
License Number | 01021978A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | BREMERTON |
State | WA |