The holder whose full name is Gandla, Vijaya Bhaskar,come from Chestnut Hill MA,hold the Physician license(NO.01061076A) which status is Expired Non-Renewable.
Name | Gandla, Vijaya Bhaskar |
---|---|
License Number | 01061076A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | Chestnut Hill |
State | MA |