The holder whose full name is Barham, Gary Duane,come from LAS CRUCES NM,hold the Physician license(NO.01024685A) which status is Expired Non-Renewable.
Name | Barham, Gary Duane |
---|---|
License Number | 01024685A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | LAS CRUCES |
State | NM |