The holder whose full name is Tewoldemedhin, Hintsa,come from Mission KS,hold the Physician license(NO.01056891A) which status is Expired Non-Renewable.
| Name | Tewoldemedhin, Hintsa |
|---|---|
| License Number | 01056891A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | Mission |
| State | KS |