The holder whose full name is Perrotta, Dominic Anthony,come from Harker Heights TX,hold the Physician license(NO.01056488A) which status is Expired Non-Renewable.
Name | Perrotta, Dominic Anthony |
---|---|
License Number | 01056488A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | Harker Heights |
State | TX |