The holder whose full name is CHENAL, MARIO EUGENIO,come from Kennewick WA,hold the Physician license(NO.01045289A) which status is Expired Non-Renewable.
Name | CHENAL, MARIO EUGENIO |
---|---|
License Number | 01045289A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | Kennewick |
State | WA |