The holder whose full name is Ganal, Edmund Anthony,come from San Diego CA,hold the Physician license(NO.01062579A) which status is Expired Non-Renewable.
| Name | Ganal, Edmund Anthony |
|---|---|
| License Number | 01062579A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | San Diego |
| State | CA |