The holder whose full name is MADAMANGALAM, ABHINAVA S,come from Edmond OK,hold the Physician license(NO.01049231A) which status is Active.
| Name | MADAMANGALAM, ABHINAVA S |
|---|---|
| License Number | 01049231A |
| License Type | Physician |
| License Status | Active |
| City | Edmond |
| State | OK |