The holder whose full name is NIEVERA, EVERETT ANTONIO J,come from HOWARD BEACH NY,hold the Physician license(NO.01052219A) which status is Expired Non-Renewable.
| Name | NIEVERA, EVERETT ANTONIO J |
|---|---|
| License Number | 01052219A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | HOWARD BEACH |
| State | NY |