The holder whose full name is JOHNSEN, JAMES ALFRED,come from ANNANDALE VA,hold the Physician license(NO.01038367A) which status is Expired Non-Renewable.
Name | JOHNSEN, JAMES ALFRED |
---|---|
License Number | 01038367A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | ANNANDALE |
State | VA |