The holder whose full name is REDDY, MALLIPEDDI DAYAKER,come from GLEN OAKS NY,hold the Physician license(NO.01047009A) which status is Expired Non-Renewable.
Name | REDDY, MALLIPEDDI DAYAKER |
---|---|
License Number | 01047009A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | GLEN OAKS |
State | NY |