The holder whose full name is Prommer, Eric Ernest,come from Glendale CA,hold the Physician license(NO.01036829A) which status is Expired Non-Renewable.
| Name | Prommer, Eric Ernest |
|---|---|
| License Number | 01036829A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | Glendale |
| State | CA |