The holder whose full name is BATALLA, GAMALIEL PASAMBA,come from Bridgeport WV,hold the Physician license(NO.01052237A) which status is Expired Non-Renewable.
Name | BATALLA, GAMALIEL PASAMBA |
---|---|
License Number | 01052237A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | Bridgeport |
State | WV |