The holder whose full name is Lebioda, Henry S.,come from Phoenix AZ,hold the Physician license(NO.01014499A) which status is Expired Non-Renewable.
| Name | Lebioda, Henry S. |
|---|---|
| License Number | 01014499A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | Phoenix |
| State | AZ |