The holder whose full name is MANCUSO, JAMES DOMINIC,come from Chevy Chase MD,hold the Physician license(NO.01053219A) which status is Expired Non-Renewable.
| Name | MANCUSO, JAMES DOMINIC |
|---|---|
| License Number | 01053219A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | Chevy Chase |
| State | MD |