The holder whose full name is CAPITLE JR, EUGENIO MANZON,come from EAST MEADOW NY,hold the Physician license(NO.01049725A) which status is Expired Non-Renewable.
| Name | CAPITLE JR, EUGENIO MANZON |
|---|---|
| License Number | 01049725A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | EAST MEADOW |
| State | NY |