The holder whose full name is Bak, Benjamin H,come from Irving TX,hold the Physician license(NO.01059230A) which status is Expired Non-Renewable.
| Name | Bak, Benjamin H |
|---|---|
| License Number | 01059230A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | Irving |
| State | TX |