The holder whose full name is BAUSAS, WILMA IGNACO,come from ELMHURST NY,hold the Physician license(NO.01043609A) which status is Expired Non-Renewable.
| Name | BAUSAS, WILMA IGNACO |
|---|---|
| License Number | 01043609A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | ELMHURST |
| State | NY |