License Information

The holder whose full name is CONNOLLY, BRENDON,come from FEDERAL WAY WA,hold the Physician license(NO.01049727A) which status is Expired Non-Renewable.

NameCONNOLLY, BRENDON
License Number01049727A
License TypePhysician
License StatusExpired Non-Renewable
CityFEDERAL WAY
StateWA

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