The holder whose full name is Manalo, Elmer Pante,come from Crestwood KY,hold the Physician license(NO.01040595A) which status is Revoked.
| Name | Manalo, Elmer Pante |
|---|---|
| License Number | 01040595A |
| License Type | Physician |
| License Status | Revoked |
| City | Crestwood |
| State | KY |