The holder whose full name is COSTAS KATZ, CARMEN SILVIA,come from GREAT NECK NY,hold the Physician license(NO.01044477A) which status is Expired Non-Renewable.
Name | COSTAS KATZ, CARMEN SILVIA |
---|---|
License Number | 01044477A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | GREAT NECK |
State | NY |