The holder whose full name is Lumbang, Wilfred Amiscua,come from Antioch TN,hold the Physician license(NO.01055371A) which status is Expired Non-Renewable.
| Name | Lumbang, Wilfred Amiscua |
|---|---|
| License Number | 01055371A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | Antioch |
| State | TN |