The holder whose full name is Mahmoud, Hatim A.,come from East Meadow NY,hold the Physician license(NO.01058509A) which status is Expired Non-Renewable.
Name | Mahmoud, Hatim A. |
---|---|
License Number | 01058509A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | East Meadow |
State | NY |