Name


David Anthony Quiroz Jr


Status


**EXPIRED**

Expiration Date


2015-06-15

Doctor


AVILA, jay

DL Number


f3072883

Rec Number


9546352330512200

Pain


0

Anxiety


0

Insomnia


0

Appetite


0

Nausea


0

Office


San Bernardino

Entered by


MERK

Date First Visit


2014-09-21 21:45:47