The holder whose full name is JONNALAGADDA, BALATHRIPURA,come from KENDALL PARK NJ,hold the Physician license(NO.01041288A) which status is Expired Non-Renewable.
| Name | JONNALAGADDA, BALATHRIPURA |
|---|---|
| License Number | 01041288A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | KENDALL PARK |
| State | NJ |