The holder whose full name is Edwards, Edward T.,come from SAN DIEGO CA,hold the Physician license(NO.01014619A) which status is Expired Non-Renewable.
| Name | Edwards, Edward T. |
|---|---|
| License Number | 01014619A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | SAN DIEGO |
| State | CA |