The holder whose full name is Masullo, Lawrence N.,come from Harker Heights TX,hold the Physician license(NO.01059251A) which status is Expired Non-Renewable.
Name | Masullo, Lawrence N. |
---|---|
License Number | 01059251A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | Harker Heights |
State | TX |