The holder whose full name is Teferra, Samuel,come from Lenexa KS,hold the Physician license(NO.01045793A) which status is Expired Non-Renewable.
| Name | Teferra, Samuel |
|---|---|
| License Number | 01045793A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | Lenexa |
| State | KS |