The holder whose full name is HAQUE, FAZLUL,come from NEW HYDE PARK NY,hold the Physician license(NO.01045592A) which status is Expired Non-Renewable.
| Name | HAQUE, FAZLUL |
|---|---|
| License Number | 01045592A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | NEW HYDE PARK |
| State | NY |