The holder whose full name is Longe, Adewole Collins,come from Baton Rouge LA,hold the Physician license(NO.01053163A) which status is Expired Non-Renewable.
Name | Longe, Adewole Collins |
---|---|
License Number | 01053163A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | Baton Rouge |
State | LA |