The holder whose full name is COVALT, DONALD A,come from NEW YORK NY,hold the Physician license(NO.01012271A) which status is Expired Non-Renewable.
| Name | COVALT, DONALD A |
|---|---|
| License Number | 01012271A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | NEW YORK |
| State | NY |