The holder whose full name is DALE, LESTER N,come from HASTINGS MN,hold the Physician license(NO.01034103A) which status is Expired Non-Renewable.
Name | DALE, LESTER N |
---|---|
License Number | 01034103A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | HASTINGS |
State | MN |