The holder whose full name is HALTOM, THOMAS LAMB,come from MARIETTA GA,hold the Physician license(NO.01033204A) which status is Expired Non-Renewable.
Name | HALTOM, THOMAS LAMB |
---|---|
License Number | 01033204A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | MARIETTA |
State | GA |