The holder whose full name is KRISHNA, GOLLAVELLI JYOTHI,come from STATEN ISLAND NY,hold the Physician license(NO.01040679A) which status is Expired Non-Renewable.
Name | KRISHNA, GOLLAVELLI JYOTHI |
---|---|
License Number | 01040679A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | STATEN ISLAND |
State | NY |