The holder whose full name is Plata, Edward,come from Orchard Park NY,hold the Physician license(NO.01058616A) which status is Expired Non-Renewable.
| Name | Plata, Edward |
|---|---|
| License Number | 01058616A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | Orchard Park |
| State | NY |