The holder whose full name is Spinella, Philip Charles,come from FORT POLK LA,hold the Physician license(NO.01047033A) which status is Expired Non-Renewable.
| Name | Spinella, Philip Charles |
|---|---|
| License Number | 01047033A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | FORT POLK |
| State | LA |