The holder whose full name is LONTOK, EMILIO M,come from MILWAUKEE WI,hold the Physician license(NO.01022801A) which status is Expired Non-Renewable.
Name | LONTOK, EMILIO M |
---|---|
License Number | 01022801A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | MILWAUKEE |
State | WI |