The holder whose full name is DESMANGLES, JEAN CLAUDE,come from BUFFALO NY,hold the Physician license(NO.01048775A) which status is Expired Non-Renewable.
Name | DESMANGLES, JEAN CLAUDE |
---|---|
License Number | 01048775A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | BUFFALO |
State | NY |