The holder whose full name is SOTOLONGO, ELADIO,come from RIVERDALE GA,hold the Physician license(NO.01021031A) which status is Expired Non-Renewable.
Name | SOTOLONGO, ELADIO |
---|---|
License Number | 01021031A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | RIVERDALE |
State | GA |