The holder whose full name is Bagal, Amita Arun Manickam,come from Lutherville MD,hold the Physician license(NO.01056913A) which status is Active.
| Name | Bagal, Amita Arun Manickam |
|---|---|
| License Number | 01056913A |
| License Type | Physician |
| License Status | Active |
| City | Lutherville |
| State | MD |