The holder whose full name is SOPPA, JAYANTHI,come from LARGO FL,hold the Physician license(NO.01030504A) which status is Expired Non-Renewable.
| Name | SOPPA, JAYANTHI |
|---|---|
| License Number | 01030504A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | LARGO |
| State | FL |