The holder whose full name is Namer, Vitali,come from BRONX NY,hold the Physician license(NO.01024675A) which status is Expired Non-Renewable.
| Name | Namer, Vitali |
|---|---|
| License Number | 01024675A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | BRONX |
| State | NY |