The holder whose full name is POURKAVOOS, KHOSRO,come from Avon CT,hold the Physician license(NO.01047002A) which status is Expired Non-Renewable.
| Name | POURKAVOOS, KHOSRO |
|---|---|
| License Number | 01047002A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | Avon |
| State | CT |