The holder whose full name is Fadell, Matthew Jerome,come from San Diego CA,hold the Physician license(NO.01017416A) which status is Expired Non-Renewable.
| Name | Fadell, Matthew Jerome |
|---|---|
| License Number | 01017416A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | San Diego |
| State | CA |