The holder whose full name is Dapena, Juan Carlos,come from Virginia Beach VA,hold the Physician license(NO.01055624A) which status is Expired Non-Renewable.
| Name | Dapena, Juan Carlos |
|---|---|
| License Number | 01055624A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | Virginia Beach |
| State | VA |