The holder whose full name is Watzinger, Waltraud Maria,come from Lafayette LA,hold the Physician license(NO.01042471A) which status is Expired Non-Renewable.
Name | Watzinger, Waltraud Maria |
---|---|
License Number | 01042471A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | Lafayette |
State | LA |