The holder whose full name is LEVAN, ANN MARIE T,come from LONG BEACH CA,hold the Physician license(NO.01031278A) which status is Expired Non-Renewable.
Name | LEVAN, ANN MARIE T |
---|---|
License Number | 01031278A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | LONG BEACH |
State | CA |