The holder whose full name is KOLOMS, DEBRA ANNE,come from Watertown NY,hold the Physician license(NO.01038370A) which status is Expired Non-Renewable.
Name | KOLOMS, DEBRA ANNE |
---|---|
License Number | 01038370A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | Watertown |
State | NY |