The holder whose full name is Fernandez, Ruben,come from Jackson TN,hold the Physician license(NO.01056848A) which status is Expired Non-Renewable.
| Name | Fernandez, Ruben |
|---|---|
| License Number | 01056848A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | Jackson |
| State | TN |