The holder whose full name is LASSITER, LEWANZER,come from CHICAGO IL,hold the Physician license(NO.01049918A) which status is Expired Non-Renewable.
Name | LASSITER, LEWANZER |
---|---|
License Number | 01049918A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | CHICAGO |
State | IL |