The holder whose full name is Seetharam, Malavalli N.,come from Fayetteville NY,hold the Physician license(NO.01040397A) which status is Expired Non-Renewable.
| Name | Seetharam, Malavalli N. |
|---|---|
| License Number | 01040397A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | Fayetteville |
| State | NY |