The holder whose full name is RAJA, BALA SHANMUHA S,come from Jamaica NY,hold the Physician license(NO.01052916A) which status is Expired Non-Renewable.
| Name | RAJA, BALA SHANMUHA S |
|---|---|
| License Number | 01052916A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | Jamaica |
| State | NY |