The holder whose full name is McInnes Jr., Alan Wallace,come from Coronado CA,hold the Physician license(NO.01055476A) which status is Expired Non-Renewable.
| Name | McInnes Jr., Alan Wallace |
|---|---|
| License Number | 01055476A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | Coronado |
| State | CA |