The holder whose full name is MUMMANENI, KAVITA,come from SPRINGFIELD NJ,hold the Physician license(NO.01050322A) which status is Expired Non-Renewable.
Name | MUMMANENI, KAVITA |
---|---|
License Number | 01050322A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | SPRINGFIELD |
State | NJ |