The holder whose full name is Schreckengaust, Richard H.,come from Chula Vista CA,hold the Physician license(NO.01058100A) which status is Expired Non-Renewable.
Name | Schreckengaust, Richard H. |
---|---|
License Number | 01058100A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | Chula Vista |
State | CA |