The holder whose full name is Balkman, Debra J.,come from Glen Cove NY,hold the Physician license(NO.01062601A) which status is Expired Non-Renewable.
| Name | Balkman, Debra J. |
|---|---|
| License Number | 01062601A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | Glen Cove |
| State | NY |