The holder whose full name is Stanley, Edgar Javier,come from Liverpool NY,hold the Physician license(NO.01057580A) which status is Expired Non-Renewable.
| Name | Stanley, Edgar Javier |
|---|---|
| License Number | 01057580A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | Liverpool |
| State | NY |