The holder whose full name is PACIO, GLENN AMANTE,come from Lakewood WA,hold the Physician license(NO.01050140A) which status is Expired Non-Renewable.
| Name | PACIO, GLENN AMANTE |
|---|---|
| License Number | 01050140A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | Lakewood |
| State | WA |