The holder whose full name is DE LA PAZ, CARMEN,come from CHICAGO IL,hold the Physician license(NO.01022633A) which status is Expired Non-Renewable.
| Name | DE LA PAZ, CARMEN |
|---|---|
| License Number | 01022633A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | CHICAGO |
| State | IL |