The holder whose full name is LOUIS, LENUS S,come from STATEN ISLAND NY,hold the Physician license(NO.01050780A) which status is Expired Non-Renewable.
| Name | LOUIS, LENUS S |
|---|---|
| License Number | 01050780A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | STATEN ISLAND |
| State | NY |