The holder whose full name is TOLENTINO, LOUISA MANUELA,come from BRANDENBURG KY,hold the Physician license(NO.01043394A) which status is Expired Non-Renewable.
| Name | TOLENTINO, LOUISA MANUELA |
|---|---|
| License Number | 01043394A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | BRANDENBURG |
| State | KY |