The holder whose full name is Avula, Jaiwant Kumar,come from Lagrange GA,hold the Physician license(NO.01043332A) which status is Expired Non-Renewable.
| Name | Avula, Jaiwant Kumar |
|---|---|
| License Number | 01043332A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | Lagrange |
| State | GA |