The holder whose full name is BLOCK, LEON IRVING,come from FALLS CHURCH VA,hold the Physician license(NO.01017671A) which status is Expired Non-Renewable.
Name | BLOCK, LEON IRVING |
---|---|
License Number | 01017671A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | FALLS CHURCH |
State | VA |