The holder whose full name is BAZAZ, GULAM R,come from Staten Island NY,hold the Physician license(NO.01054499A) which status is Expired Non-Renewable.
| Name | BAZAZ, GULAM R |
|---|---|
| License Number | 01054499A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | Staten Island |
| State | NY |