The holder whose full name is FURUTA, EIICHI,come from Honolulu HI,hold the Physician license(NO.01053538A) which status is Expired Non-Renewable.
Name | FURUTA, EIICHI |
---|---|
License Number | 01053538A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | Honolulu |
State | HI |