The holder whose full name is BANKS, EVELYN RAY,come from CHARLOTTESVILLE VA,hold the Physician license(NO.01035408A) which status is Expired Non-Renewable.
| Name | BANKS, EVELYN RAY |
|---|---|
| License Number | 01035408A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | CHARLOTTESVILLE |
| State | VA |