The holder whose full name is ELLOSO, CIPRIANO A,come from CINNAMINSON NJ,hold the Physician license(NO.01021637A) which status is Expired Non-Renewable.
Name | ELLOSO, CIPRIANO A |
---|---|
License Number | 01021637A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | CINNAMINSON |
State | NJ |