The holder whose full name is DEASY, J SCOTT,come from FLAGSTAFF AZ,hold the Physician license(NO.01027027A) which status is Inactive/Expired.
Name | DEASY, J SCOTT |
---|---|
License Number | 01027027A |
License Type | Physician |
License Status | Inactive/Expired |
City | FLAGSTAFF |
State | AZ |