The holder whose full name is Decastro, Manuel Hernandez,come from Middletown NY,hold the Physician license(NO.01054712A) which status is Expired Non-Renewable.
| Name | Decastro, Manuel Hernandez |
|---|---|
| License Number | 01054712A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | Middletown |
| State | NY |