The holder whose full name is ORR, LANCE MATTHEW,come from Chula Vista CA,hold the Physician license(NO.01053599A) which status is Expired Non-Renewable.
Name | ORR, LANCE MATTHEW |
---|---|
License Number | 01053599A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | Chula Vista |
State | CA |