The holder whose full name is Folkerth, Theodore Leon,come from Oceanside CA,hold the Physician license(NO.01039702A) which status is Expired Non-Renewable.
| Name | Folkerth, Theodore Leon |
|---|---|
| License Number | 01039702A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | Oceanside |
| State | CA |