The holder whose full name is GENNA, MARY MILLER,come from SANTA BARBARA CA,hold the Physician license(NO.01015258A) which status is Expired Non-Renewable.
Name | GENNA, MARY MILLER |
---|---|
License Number | 01015258A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | SANTA BARBARA |
State | CA |