The holder whose full name is HERRERA PAZ, EDMUNDO H,come from FLUSHING NY,hold the Physician license(NO.01029087A) which status is Expired Non-Renewable.
| Name | HERRERA PAZ, EDMUNDO H |
|---|---|
| License Number | 01029087A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | FLUSHING |
| State | NY |