The holder whose full name is OSTROVSKAYA, INNA D,come from REGO PARK NY,hold the Physician license(NO.01052009A) which status is Expired Non-Renewable.
Name | OSTROVSKAYA, INNA D |
---|---|
License Number | 01052009A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | REGO PARK |
State | NY |