The holder whose full name is VLANTIS, ANTONIOS L,come from BAYSIDE NY,hold the Physician license(NO.01033951A) which status is Expired Non-Renewable.
| Name | VLANTIS, ANTONIOS L |
|---|---|
| License Number | 01033951A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | BAYSIDE |
| State | NY |