The holder whose full name is Gamarra De Williams, Juana L.,come from Howard Beach NY,hold the Physician license(NO.01055821A) which status is Expired Non-Renewable.
Name | Gamarra De Williams, Juana L. |
---|---|
License Number | 01055821A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | Howard Beach |
State | NY |