The holder whose full name is SABNIS, LATA U,come from PENFIELD NY,hold the Physician license(NO.01031472A) which status is Expired Non-Renewable.
Name | SABNIS, LATA U |
---|---|
License Number | 01031472A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | PENFIELD |
State | NY |