The holder whose full name is Mortel, David Isaac,come from New York NY,hold the Physician license(NO.01068772A) which status is Expired Non-Renewable.
| Name | Mortel, David Isaac |
|---|---|
| License Number | 01068772A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | New York |
| State | NY |