Name


Mark Martin Flores


Status


**EXPIRED**

Expiration Date


2015-08-21

Doctor


IRONSIDE, Paul A.

DL Number


f4492943

Rec Number


021907686084113

Pain


5

Anxiety


7

Insomnia


0

Appetite


0

Nausea


0

Office


San Bernardino

Entered by


MERK

Date First Visit


2014-12-23 22:36:54