The holder whose full name is Gaughan, Ellen Celeste,come from Plattsburgh NY,hold the Physician license(NO.01047747A) which status is Expired Non-Renewable.
Name | Gaughan, Ellen Celeste |
---|---|
License Number | 01047747A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | Plattsburgh |
State | NY |