The holder whose full name is Favelukes, Alex,come from Hallandale FL,hold the Physician license(NO.01038217A) which status is Expired Non-Renewable.
| Name | Favelukes, Alex |
|---|---|
| License Number | 01038217A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | Hallandale |
| State | FL |