The holder whose full name is DE ANDRADE, LEONEL RICHARD,come from JOHNSTOWN CITY NY,hold the Physician license(NO.01041876A) which status is Expired Non-Renewable.
| Name | DE ANDRADE, LEONEL RICHARD |
|---|---|
| License Number | 01041876A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | JOHNSTOWN CITY |
| State | NY |