The holder whose full name is Davis, Derik Lashawn,come from Ellicott City MD,hold the Physician license(NO.01054676A) which status is Active.
| Name | Davis, Derik Lashawn |
|---|---|
| License Number | 01054676A |
| License Type | Physician |
| License Status | Active |
| City | Ellicott City |
| State | MD |