The holder whose full name is ANJUM, KAMAL,come from LA JUNTA CO,hold the Physician license(NO.01045730A) which status is Expired Non-Renewable.
| Name | ANJUM, KAMAL |
|---|---|
| License Number | 01045730A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | LA JUNTA |
| State | CO |