The holder whose full name is BALAMUNISWAMY, LATHA,come from Davenport IA,hold the Physician license(NO.01044817A) which status is Expired Non-Renewable.
| Name | BALAMUNISWAMY, LATHA |
|---|---|
| License Number | 01044817A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | Davenport |
| State | IA |