The holder whose full name is TAMAYOSE, WALLACE AKIRA,come from OXNARD CA,hold the Physician license(NO.01041351A) which status is Expired Non-Renewable.
| Name | TAMAYOSE, WALLACE AKIRA |
|---|---|
| License Number | 01041351A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | OXNARD |
| State | CA |