The holder whose full name is Medina, Frenando L.,come from Lawton OK,hold the Physician license(NO.01048383A) which status is Expired Non-Renewable.
Name | Medina, Frenando L. |
---|---|
License Number | 01048383A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | Lawton |
State | OK |