The holder whose full name is Bysani, Nanda Kusuma,come from Irving TX,hold the Physician license(NO.01059144A) which status is Expired.
| Name | Bysani, Nanda Kusuma |
|---|---|
| License Number | 01059144A |
| License Type | Physician |
| License Status | Expired |
| City | Irving |
| State | TX |