The holder whose full name is BABCOCK, MARY ELLEN,come from LAS VEGAS NM,hold the Physician license(NO.01022082A) which status is Expired Non-Renewable.
Name | BABCOCK, MARY ELLEN |
---|---|
License Number | 01022082A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | LAS VEGAS |
State | NM |