The holder whose full name is LACSINA, EMMANUEL Q,come from TACOMA WA,hold the Physician license(NO.01023679A) which status is Expired Non-Renewable.
Name | LACSINA, EMMANUEL Q |
---|---|
License Number | 01023679A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | TACOMA |
State | WA |