The holder whose full name is Alexis, Georgette Gilda,come from Flushing NY,hold the Physician license(NO.01057895A) which status is Expired Non-Renewable.
Name | Alexis, Georgette Gilda |
---|---|
License Number | 01057895A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | Flushing |
State | NY |