The holder whose full name is Lippard, Walter K.,come from Phoenix AZ,hold the Physician license(NO.01020827A) which status is Expired Non-Renewable.
| Name | Lippard, Walter K. |
|---|---|
| License Number | 01020827A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | Phoenix |
| State | AZ |