The holder whose full name is Tackey, Edward Opom,come from Gaithersburg MD,hold the Physician license(NO.01051116A) which status is Expired Non-Renewable.
| Name | Tackey, Edward Opom |
|---|---|
| License Number | 01051116A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | Gaithersburg |
| State | MD |