The holder whose full name is Mazumdar, Avi,come from Chicago IL,hold the Physician license(NO.01061316A) which status is Expired Non-Renewable.
| Name | Mazumdar, Avi |
|---|---|
| License Number | 01061316A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | Chicago |
| State | IL |