The holder whose full name is LAT, GRACE GALAPIN,come from ANTIOCH TN,hold the Physician license(NO.01044654A) which status is Expired Non-Renewable.
Name | LAT, GRACE GALAPIN |
---|---|
License Number | 01044654A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | ANTIOCH |
State | TN |