The holder whose full name is AVILA, JOSE L,come from JERSEY CITY NJ,hold the Physician license(NO.01049268A) which status is Expired Non-Renewable.
Name | AVILA, JOSE L |
---|---|
License Number | 01049268A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | JERSEY CITY |
State | NJ |