The holder whose full name is LORLERTRATNA, NITHI,come from LIVERPOOL NY,hold the Physician license(NO.01047642A) which status is Expired Non-Renewable.
| Name | LORLERTRATNA, NITHI |
|---|---|
| License Number | 01047642A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | LIVERPOOL |
| State | NY |