The holder whose full name is Niamatali, Gordon,come from Vicksburg MS,hold the Physician license(NO.01063337A) which status is Expired Non-Renewable.
| Name | Niamatali, Gordon |
|---|---|
| License Number | 01063337A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | Vicksburg |
| State | MS |