The holder whose full name is REDDY, NALLATHIMMAYYAGARI S,come from Tacoma WA,hold the Physician license(NO.01054159A) which status is Expired.
Name | REDDY, NALLATHIMMAYYAGARI S |
---|---|
License Number | 01054159A |
License Type | Physician |
License Status | Expired |
City | Tacoma |
State | WA |