The holder whose full name is Origenes, Frederick Florentino,come from Franklin WI,hold the Physician license(NO.01057605A) which status is Expired Non-Renewable.
Name | Origenes, Frederick Florentino |
---|---|
License Number | 01057605A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | Franklin |
State | WI |