The holder whose full name is ERMOLENKO, GUERMAN,come from LONG BEACH NY,hold the Physician license(NO.01050419A) which status is Expired Non-Renewable.
Name | ERMOLENKO, GUERMAN |
---|---|
License Number | 01050419A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | LONG BEACH |
State | NY |