The holder whose full name is DEFALQUE, RAYMOND J,come from BIRMINGHAM AL,hold the Physician license(NO.01018860A) which status is Expired Non-Renewable.
| Name | DEFALQUE, RAYMOND J |
|---|---|
| License Number | 01018860A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | BIRMINGHAM |
| State | AL |