The holder whose full name is Fuentes, Maritess Garcia,come from Johnstown PA,hold the Physician license(NO.01067892A) which status is Expired Non-Renewable.
| Name | Fuentes, Maritess Garcia |
|---|---|
| License Number | 01067892A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | Johnstown |
| State | PA |