The holder whose full name is ESCALONA, DANIEL MAYPA,come from LAFAYETTE LA,hold the Physician license(NO.01033198A) which status is Expired Non-Renewable.
Name | ESCALONA, DANIEL MAYPA |
---|---|
License Number | 01033198A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | LAFAYETTE |
State | LA |