The holder whose full name is Basu, Ashish Kumar,come from Decatur AL,hold the Physician license(NO.01055623A) which status is Inactive/Expired.
| Name | Basu, Ashish Kumar |
|---|---|
| License Number | 01055623A |
| License Type | Physician |
| License Status | Inactive/Expired |
| City | Decatur |
| State | AL |