The holder whose full name is INGRAHAM, BETTE A,come from PROVIDENCE RI,hold the Physician license(NO.01026531A) which status is Expired Non-Renewable.
Name | INGRAHAM, BETTE A |
---|---|
License Number | 01026531A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | PROVIDENCE |
State | RI |