The holder whose full name is KANDATHIL, VALSAMMA T,come from MANTUA NJ,hold the Physician license(NO.01032696A) which status is Expired Non-Renewable.
| Name | KANDATHIL, VALSAMMA T |
|---|---|
| License Number | 01032696A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | MANTUA |
| State | NJ |