The holder whose full name is Wilson, Dwayne LaFrantz,come from Providence RI,hold the Physician license(NO.01062905A) which status is Suspended.
| Name | Wilson, Dwayne LaFrantz |
|---|---|
| License Number | 01062905A |
| License Type | Physician |
| License Status | Suspended |
| City | Providence |
| State | RI |