The holder whose full name is GENIBLAZO, ELMER,come from PASADENA CA,hold the Physician license(NO.01033361A) which status is Expired Non-Renewable.
| Name | GENIBLAZO, ELMER |
|---|---|
| License Number | 01033361A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | PASADENA |
| State | CA |