The holder whose full name is PRUSS, MARIO EDUARDO,come from RICHMOND VA,hold the Physician license(NO.01037893A) which status is Expired Non-Renewable.
| Name | PRUSS, MARIO EDUARDO |
|---|---|
| License Number | 01037893A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | RICHMOND |
| State | VA |