The holder whose full name is Urdaneta, Javier Jose,come from Orlando FL,hold the Physician license(NO.01042802A) which status is Expired Non-Renewable.
| Name | Urdaneta, Javier Jose |
|---|---|
| License Number | 01042802A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | Orlando |
| State | FL |