The holder whose full name is FUGITT, JONATHAN BRETT,come from CHULA VISTA CA,hold the Physician license(NO.01051544A) which status is Expired Non-Renewable.
Name | FUGITT, JONATHAN BRETT |
---|---|
License Number | 01051544A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | CHULA VISTA |
State | CA |