The holder whose full name is Phillip, Dennis-Roger,come from Buffalo NY,hold the Physician license(NO.01057086A) which status is Expired Non-Renewable.
| Name | Phillip, Dennis-Roger |
|---|---|
| License Number | 01057086A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | Buffalo |
| State | NY |