The holder whose full name is Poosuthasee, Banpote,come from San Diego CA,hold the Physician license(NO.01035111A) which status is Inactive/Expired.
| Name | Poosuthasee, Banpote |
|---|---|
| License Number | 01035111A |
| License Type | Physician |
| License Status | Inactive/Expired |
| City | San Diego |
| State | CA |