The holder whose full name is KALLIATH, ANTHONY JACOB,come from STATEN ISLAND NY,hold the Physician license(NO.01037288A) which status is Expired Non-Renewable.
| Name | KALLIATH, ANTHONY JACOB |
|---|---|
| License Number | 01037288A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | STATEN ISLAND |
| State | NY |