The holder whose full name is BALASUBRAHMANYAM, GAYATRI,come from JOHNSON CITY TN,hold the Physician license(NO.01047393A) which status is Expired Non-Renewable.
Name | BALASUBRAHMANYAM, GAYATRI |
---|---|
License Number | 01047393A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | JOHNSON CITY |
State | TN |