The holder whose full name is OCAVA, LENORE C,come from ELMHURST NY,hold the Physician license(NO.01052092A) which status is Expired Non-Renewable.
Name | OCAVA, LENORE C |
---|---|
License Number | 01052092A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | ELMHURST |
State | NY |