The holder whose full name is Lax, Fredric,come from Lima OH,hold the Physician license(NO.01056707A) which status is Expired Non-Renewable.
| Name | Lax, Fredric |
|---|---|
| License Number | 01056707A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | Lima |
| State | OH |