The holder whose full name is Praveen Kumar, Valiparambil,come from Fargo ND,hold the Physician license(NO.01070098A) which status is Expired.
| Name | Praveen Kumar, Valiparambil |
|---|---|
| License Number | 01070098A |
| License Type | Physician |
| License Status | Expired |
| City | Fargo |
| State | ND |