The holder whose full name is KARTIKA, GUNAWAN,come from CHEEKTOWAGA NY,hold the Physician license(NO.01034993A) which status is Expired Non-Renewable.
| Name | KARTIKA, GUNAWAN |
|---|---|
| License Number | 01034993A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | CHEEKTOWAGA |
| State | NY |