The holder whose full name is BOCKOVA, JANA,come from EAST SETAUKET NY,hold the Physician license(NO.01050023A) which status is Expired Non-Renewable.
Name | BOCKOVA, JANA |
---|---|
License Number | 01050023A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | EAST SETAUKET |
State | NY |