The holder whose full name is Manzano, Lester Dewitt,come from New Hartford NY,hold the Physician license(NO.01036673A) which status is Expired Non-Renewable.
Name | Manzano, Lester Dewitt |
---|---|
License Number | 01036673A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | New Hartford |
State | NY |