California – Mendocino – Willits
patient care - 1 to 9 hours
other - 1 to 9 hours
license issued on July 22, 1974; expires on August 31, 2012
Stanford University School of Medicine (graduated in 1973)
Graduated in year 1973, Medical School: Stanford University School of Medicine, Stanford, CA 94305
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Profile ID: FRUS-MDS-P-50062