The holder whose full name is SHKOLNAYA, TATYANA,come from STATEN ISLAND NY,hold the Physician license(NO.01046791A) which status is Expired Non-Renewable.
Name | SHKOLNAYA, TATYANA |
---|---|
License Number | 01046791A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | STATEN ISLAND |
State | NY |