The holder whose full name is Macedo, Elizabeth Vimala,come from Tulsa OK,hold the Physician license(NO.01061068A) which status is Expired Non-Renewable.
Name | Macedo, Elizabeth Vimala |
---|---|
License Number | 01061068A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | Tulsa |
State | OK |