The holder whose full name is D SOUZA, BISMARCK C,come from SALENA KS,hold the Physician license(NO.01028912A) which status is Expired Non-Renewable.
| Name | D SOUZA, BISMARCK C |
|---|---|
| License Number | 01028912A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | SALENA |
| State | KS |