The holder whose full name is TAVITIAN, HENRY OHANES,come from ELMHURST NY,hold the Physician license(NO.01022602A) which status is Expired Non-Renewable.
| Name | TAVITIAN, HENRY OHANES |
|---|---|
| License Number | 01022602A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | ELMHURST |
| State | NY |