The holder whose full name is VENABLE, PHILLIP A,come from Havertown PA,hold the Physician license(NO.01052959A) which status is Expired Non-Renewable.
Name | VENABLE, PHILLIP A |
---|---|
License Number | 01052959A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | Havertown |
State | PA |