The holder whose full name is CRUZ, LORENZO R,come from GREEN BAY WI,hold the Physician license(NO.01026642A) which status is Inactive/Expired.
| Name | CRUZ, LORENZO R |
|---|---|
| License Number | 01026642A |
| License Type | Physician |
| License Status | Inactive/Expired |
| City | GREEN BAY |
| State | WI |