The holder whose full name is Lietzke, Jennifer Anne,come from Oregon City OR,hold the Physician license(NO.01062993A) which status is Expired Non-Renewable.
| Name | Lietzke, Jennifer Anne |
|---|---|
| License Number | 01062993A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | Oregon City |
| State | OR |