The holder whose full name is Cuenca, Phillip Benjamin,come from Puyallup WA,hold the Physician license(NO.01056581A) which status is Expired Non-Renewable.
| Name | Cuenca, Phillip Benjamin |
|---|---|
| License Number | 01056581A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | Puyallup |
| State | WA |