The holder whose full name is DIMACULANGAN, DENNIS PONTEJOS,come from Union NJ,hold the Physician license(NO.01052169A) which status is Expired Non-Renewable.
| Name | DIMACULANGAN, DENNIS PONTEJOS |
|---|---|
| License Number | 01052169A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | Union |
| State | NJ |