The holder whose full name is MIGNOLA, BRIAN J,come from STATEN ISLAND NY,hold the Physician license(NO.01050434A) which status is Expired Non-Renewable.
| Name | MIGNOLA, BRIAN J |
|---|---|
| License Number | 01050434A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | STATEN ISLAND |
| State | NY |