The holder whose full name is MARTIREZ, NELSON QUIMPO,come from PISCATAWAY NJ,hold the Physician license(NO.01036174A) which status is Expired Non-Renewable.
Name | MARTIREZ, NELSON QUIMPO |
---|---|
License Number | 01036174A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | PISCATAWAY |
State | NJ |