The holder whose full name is SARMA, KURELLA TRIYAMBAKA,come from ST LOUIS MO,hold the Physician license(NO.01033091A) which status is Expired Non-Renewable.
Name | SARMA, KURELLA TRIYAMBAKA |
---|---|
License Number | 01033091A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | ST LOUIS |
State | MO |