The holder whose full name is JIMENEZ, CONSUELO TOMBO,come from ROANOKE VA,hold the Physician license(NO.01022933A) which status is Expired Non-Renewable.
| Name | JIMENEZ, CONSUELO TOMBO |
|---|---|
| License Number | 01022933A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | ROANOKE |
| State | VA |