The holder whose full name is Geraci, Thomas Kent,come from La Grande OR,hold the Physician license(NO.01055830A) which status is Expired Non-Renewable.
| Name | Geraci, Thomas Kent |
|---|---|
| License Number | 01055830A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | La Grande |
| State | OR |