The holder whose full name is KITZES, DAVID L,come from PROVIDENCE RI,hold the Physician license(NO.01021057A) which status is Expired Non-Renewable.
| Name | KITZES, DAVID L |
|---|---|
| License Number | 01021057A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | PROVIDENCE |
| State | RI |