The holder whose full name is Husmann, Derek Lane,come from Tucson AZ,hold the Physician license(NO.01052791A) which status is Expired Non-Renewable.
| Name | Husmann, Derek Lane |
|---|---|
| License Number | 01052791A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | Tucson |
| State | AZ |