The holder whose full name is Konstantins, Kociasvili Otar,come from Seattle WA,hold the Physician license(NO.01074093A) which status is Active.
| Name | Konstantins, Kociasvili Otar |
|---|---|
| License Number | 01074093A |
| License Type | Physician |
| License Status | Active |
| City | Seattle |
| State | WA |