The holder whose full name is Parker, Ronald Dale,come from IMTARIA CA,hold the Physician license(NO.01042705A) which status is Expired Non-Renewable.
| Name | Parker, Ronald Dale |
|---|---|
| License Number | 01042705A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | IMTARIA |
| State | CA |