The holder whose full name is Ekatan, Andrew Omoit,come from Dallas TX,hold the Physician license(NO.01063322A) which status is Expired Non-Renewable.
| Name | Ekatan, Andrew Omoit |
|---|---|
| License Number | 01063322A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | Dallas |
| State | TX |