The holder whose full name is SURTI, GHULAM MUSTAFA,come from NORTH PROVIDENCE RI,hold the Physician license(NO.01049065A) which status is Expired Non-Renewable.
| Name | SURTI, GHULAM MUSTAFA |
|---|---|
| License Number | 01049065A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | NORTH PROVIDENCE |
| State | RI |