The holder whose full name is CHICHAKLY, MOWAFFAK WADI,come from SPRINGFIELD MA,hold the Physician license(NO.01027265A) which status is Expired Non-Renewable.
Name | CHICHAKLY, MOWAFFAK WADI |
---|---|
License Number | 01027265A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | SPRINGFIELD |
State | MA |