The holder whose full name is Fields, Richard Lee,come from Mc Lean VA,hold the Physician license(NO.01017706A) which status is Expired Non-Renewable.
| Name | Fields, Richard Lee |
|---|---|
| License Number | 01017706A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | Mc Lean |
| State | VA |