The holder whose full name is BALUSU, PRATAP,come from Lima OH,hold the Physician license(NO.01046604A) which status is Expired Non-Renewable.
| Name | BALUSU, PRATAP |
|---|---|
| License Number | 01046604A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | Lima |
| State | OH |