The holder whose full name is Carrasco, Andrea Yolanda,come from Clifton Park NY,hold the Physician license(NO.01056130A) which status is Expired Non-Renewable.
Name | Carrasco, Andrea Yolanda |
---|---|
License Number | 01056130A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | Clifton Park |
State | NY |