The holder whose full name is LEE, DEANNA M,come from GLENDALE CA,hold the Physician license(NO.01039974A) which status is Expired Non-Renewable.
Name | LEE, DEANNA M |
---|---|
License Number | 01039974A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | GLENDALE |
State | CA |