The holder whose full name is WILSON, EDWARD ALLEN,come from LUBBOCK TX,hold the Physician license(NO.01019845A) which status is Expired Non-Renewable.
Name | WILSON, EDWARD ALLEN |
---|---|
License Number | 01019845A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | LUBBOCK |
State | TX |