The holder whose full name is Ordona, Theresa Quines,come from Albany NY,hold the Physician license(NO.01054109A) which status is Expired Non-Renewable.
Name | Ordona, Theresa Quines |
---|---|
License Number | 01054109A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | Albany |
State | NY |