JULIUS BANZON LAROSA MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****63

NOT RENEWED

N

MD

JULIUS

BANZON

LAROSA

JULIUS BANZON LAROSA MD

05/12/2021

05/12/2021

07/31/2023

NEWCASTLE

WA

98059

PRACTITIONER

II III IV V

N

11/30/2023