The holder whose full name is KRUSE SUSSER, LAWRENCE A,come from SALT LAKE CITY UT,hold the Physician license(NO.01040883A) which status is Expired Non-Renewable.
| Name | KRUSE SUSSER, LAWRENCE A |
|---|---|
| License Number | 01040883A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | SALT LAKE CITY |
| State | UT |