The holder whose full name is Lopez, Jonathan David,come from Fairfield CA,hold the Physician license(NO.01052935A) which status is Expired Non-Renewable.
| Name | Lopez, Jonathan David |
|---|---|
| License Number | 01052935A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | Fairfield |
| State | CA |