The holder whose full name is Reyes, Angel Manuel,come from Lawton OK,hold the Physician license(NO.01056976A) which status is Expired Non-Renewable.
| Name | Reyes, Angel Manuel |
|---|---|
| License Number | 01056976A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | Lawton |
| State | OK |