The holder whose full name is THANGADA, VENUGOPAL,come from GLASTONBURY CT,hold the Physician license(NO.01042733A) which status is Expired Non-Renewable.
Name | THANGADA, VENUGOPAL |
---|---|
License Number | 01042733A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | GLASTONBURY |
State | CT |