The holder whose full name is Roots, Bridget Diana,come from Selinsgrove PA,hold the Physician license(NO.01054905A) which status is Expired Non-Renewable.
| Name | Roots, Bridget Diana |
|---|---|
| License Number | 01054905A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | Selinsgrove |
| State | PA |