The holder whose full name is Bravo, Leticia Escasa,come from Howard Beach NY,hold the Physician license(NO.01028384A) which status is Expired Non-Renewable.
Name | Bravo, Leticia Escasa |
---|---|
License Number | 01028384A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | Howard Beach |
State | NY |