The holder whose full name is KHO, NATHANIEL ACEBEDO,come from PHOENIX AZ,hold the Physician license(NO.01048208A) which status is Expired Non-Renewable.
Name | KHO, NATHANIEL ACEBEDO |
---|---|
License Number | 01048208A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | PHOENIX |
State | AZ |