The holder whose full name is LOCKWOOD, MARILYN ANN,come from FARMINGTON PA,hold the Physician license(NO.01039052A) which status is Expired Non-Renewable.
Name | LOCKWOOD, MARILYN ANN |
---|---|
License Number | 01039052A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | FARMINGTON |
State | PA |