LICENSE CATEGORY
Medical
2
LICENSE SUBCATEGORY
Interim
57
Medical Doctor
19
Pharmacist Clinician Medical Brd
8
Pharmacist Clinician Supervisor
5
Physician Assistant Medical
3
Public Service Medical
Resident
1
Telemedicine
Temporary Camp
JURISDICTION
New Mexico
STATUSES
Active
13
Inactive
Deceased
Expired
Suspended
LOCALITIES
FIRST LETTER
Walter Leslie DeSha
New Mexico - Physician Assistant - Medical Expired
Wabanang G Kuczek