The holder whose full name is Mallia, Anantha Krishna,come from San Antonio TX,hold the Osteopathic Physician license(NO.02003085A) which status is Expired Non-Renewable.
Name | Mallia, Anantha Krishna |
---|---|
License Number | 02003085A |
License Type | Osteopathic Physician |
License Status | Expired Non-Renewable |
City | San Antonio |
State | TX |