The holder whose full name is ETTINGER, MARVIN MORRIS,come from LAKE CHARLES LA,hold the Physician license(NO.01024090A) which status is Expired Non-Renewable.
Name | ETTINGER, MARVIN MORRIS |
---|---|
License Number | 01024090A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | LAKE CHARLES |
State | LA |