The holder whose full name is SAMUEL, ADERONKE O,come from Newington CT,hold the Physician license(NO.01049802A) which status is Expired Non-Renewable.
Name | SAMUEL, ADERONKE O |
---|---|
License Number | 01049802A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | Newington |
State | CT |