The holder whose full name is GARVIN, EDWARD R,come from WATERTOWN NY,hold the Physician license(NO.01045212A) which status is Expired Non-Renewable.
| Name | GARVIN, EDWARD R |
|---|---|
| License Number | 01045212A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | WATERTOWN |
| State | NY |