The holder whose full name is LA VALLEY, ANTOINETTE LEE,come from TOLEDO OH,hold the Physician license(NO.01045005A) which status is Expired Non-Renewable.
| Name | LA VALLEY, ANTOINETTE LEE |
|---|---|
| License Number | 01045005A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | TOLEDO |
| State | OH |