The holder whose full name is PHATAK, NAYANA UDAY,come from FAIRFIELD IL,hold the Physician license(NO.01034894A) which status is Expired Non-Renewable.
| Name | PHATAK, NAYANA UDAY |
|---|---|
| License Number | 01034894A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | FAIRFIELD |
| State | IL |