The holder whose full name is DANIELSEN, LEA A,come from Athens GA,hold the Physician license(NO.01038972A) which status is Expired Non-Renewable.
| Name | DANIELSEN, LEA A |
|---|---|
| License Number | 01038972A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | Athens |
| State | GA |