The holder whose full name is THARP, ARVEL DWAYNE,come from CERRITOS CA,hold the Physician license(NO.01020199A) which status is Expired Non-Renewable.
Name | THARP, ARVEL DWAYNE |
---|---|
License Number | 01020199A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | CERRITOS |
State | CA |