The holder whose full name is DAFTARY, ALI A,come from BATESVILLE IN,hold the Physician license(NO.01024176A) which status is Expired Non-Renewable.
Name | DAFTARY, ALI A |
---|---|
License Number | 01024176A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | BATESVILLE |
State | IN |