The holder whose full name is Ebrahim, Amber,come from New York NY,hold the Physician license(NO.01060515A) which status is Expired Non-Renewable.
| Name | Ebrahim, Amber |
|---|---|
| License Number | 01060515A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | New York |
| State | NY |