The holder whose full name is Burtnett, Lawana Marie,come from Fargo ND,hold the Physician license(NO.01052648A) which status is Inactive.
| Name | Burtnett, Lawana Marie |
|---|---|
| License Number | 01052648A |
| License Type | Physician |
| License Status | Inactive |
| City | Fargo |
| State | ND |