The holder whose full name is Fillmore, Gary Lee,come from Laurel MD,hold the Physician license(NO.01057196A) which status is Expired Non-Renewable.
| Name | Fillmore, Gary Lee |
|---|---|
| License Number | 01057196A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | Laurel |
| State | MD |