The holder whose full name is Gupta, Atefeh,come from Prospect KY,hold the Physician license(NO.01056672A) which status is Expired Non-Renewable.
| Name | Gupta, Atefeh |
|---|---|
| License Number | 01056672A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | Prospect |
| State | KY |