The holder whose full name is NEWSOME, LARS RICARDO,come from DUNWOODY GA,hold the Physician license(NO.01029834A) which status is Expired Non-Renewable.
Name | NEWSOME, LARS RICARDO |
---|---|
License Number | 01029834A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | DUNWOODY |
State | GA |