The holder whose full name is MILLER, CHARLES LESLIE,come from SAN DIEGO CA,hold the Physician license(NO.01017096A) which status is Expired Non-Renewable.
Name | MILLER, CHARLES LESLIE |
---|---|
License Number | 01017096A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | SAN DIEGO |
State | CA |