The holder whose full name is WALTZ, FRANK CLINTON,come from LEAKESVILLE MS,hold the Physician license(NO.01016014A) which status is Revoked.
| Name | WALTZ, FRANK CLINTON |
|---|---|
| License Number | 01016014A |
| License Type | Physician |
| License Status | Revoked |
| City | LEAKESVILLE |
| State | MS |