The holder whose full name is Cardenas-Gomez, Edgar Ivan,come from Bronx NY,hold the Physician license(NO.01068106A) which status is Expired Non-Renewable.
Name | Cardenas-Gomez, Edgar Ivan |
---|---|
License Number | 01068106A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | Bronx |
State | NY |