The holder whose full name is MOORE, ELWIN JAMES,come from EVERETT WA,hold the Physician license(NO.01018569A) which status is Expired Non-Renewable.
Name | MOORE, ELWIN JAMES |
---|---|
License Number | 01018569A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | EVERETT |
State | WA |