The holder whose full name is MOONJELY, ANITA J,come from Liverpool NY,hold the Physician license(NO.01052480A) which status is Expired Non-Renewable.
| Name | MOONJELY, ANITA J |
|---|---|
| License Number | 01052480A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | Liverpool |
| State | NY |