The holder whose full name is Granados Palacios, Hector Manuel,come from Ridgewood NY,hold the Physician license(NO.01069376A) which status is Expired.
| Name | Granados Palacios, Hector Manuel |
|---|---|
| License Number | 01069376A |
| License Type | Physician |
| License Status | Expired |
| City | Ridgewood |
| State | NY |