The holder whose full name is Nasim, Mansoor M.,come from Jericho NY,hold the Physician license(NO.01054655A) which status is Expired Non-Renewable.
| Name | Nasim, Mansoor M. |
|---|---|
| License Number | 01054655A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | Jericho |
| State | NY |