The holder whose full name is BUDIAMAL MATHAI, LITA R,come from DAYTON OH,hold the Physician license(NO.01048764A) which status is Expired Non-Renewable.
Name | BUDIAMAL MATHAI, LITA R |
---|---|
License Number | 01048764A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | DAYTON |
State | OH |