The holder whose full name is Kostelanetz, Anna,come from Shreveport LA,hold the Physician license(NO.01050389A) which status is Expired Non-Renewable.
| Name | Kostelanetz, Anna |
|---|---|
| License Number | 01050389A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | Shreveport |
| State | LA |