The holder whose full name is ORTIZ, ILUMINADA GARCIA,come from BRECKSVILLE OH,hold the Physician license(NO.01022294A) which status is Expired Non-Renewable.
Name | ORTIZ, ILUMINADA GARCIA |
---|---|
License Number | 01022294A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | BRECKSVILLE |
State | OH |