The holder whose full name is BAISAC, JOSEPHINE,come from Modesto CA,hold the Physician license(NO.01048292A) which status is Expired Non-Renewable.
| Name | BAISAC, JOSEPHINE |
|---|---|
| License Number | 01048292A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | Modesto |
| State | CA |