The holder whose full name is QUAT, LEBA,come from GLENDALE CA,hold the Physician license(NO.01034795A) which status is Expired Non-Renewable.
| Name | QUAT, LEBA |
|---|---|
| License Number | 01034795A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | GLENDALE |
| State | CA |