The holder whose full name is LAWRANCE, KINGSLEY,come from DEL MAR CA,hold the Physician license(NO.01019872A) which status is Expired Non-Renewable.
Name | LAWRANCE, KINGSLEY |
---|---|
License Number | 01019872A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | DEL MAR |
State | CA |