The holder whose full name is DATTA, DEEPSHIKHA,come from BROOKLYN NY,hold the Physician license(NO.01049286A) which status is Expired Non-Renewable.
| Name | DATTA, DEEPSHIKHA |
|---|---|
| License Number | 01049286A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | BROOKLYN |
| State | NY |