The holder whose full name is Kanwar, Balraj,come from Valley Stream NY,hold the Physician license(NO.01057555A) which status is Expired Non-Renewable.
| Name | Kanwar, Balraj |
|---|---|
| License Number | 01057555A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | Valley Stream |
| State | NY |