The holder whose full name is Lavallee, John Noel,come from Seattle WA,hold the Physician license(NO.01042749A) which status is Expired Non-Renewable.
Name | Lavallee, John Noel |
---|---|
License Number | 01042749A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | Seattle |
State | WA |