The holder whose full name is EGNATZ, DENNIS G,come from WINSTON SALEM NC,hold the Physician license(NO.01030539A) which status is Expired Non-Renewable.
Name | EGNATZ, DENNIS G |
---|---|
License Number | 01030539A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | WINSTON SALEM |
State | NC |