The holder whose full name is Asencio, Alida,come from South Sioux City NE,hold the Physician license(NO.01056837A) which status is Inactive/Expired.
| Name | Asencio, Alida |
|---|---|
| License Number | 01056837A |
| License Type | Physician |
| License Status | Inactive/Expired |
| City | South Sioux City |
| State | NE |