The holder whose full name is Chougule, Prakash,come from East Greenwich RI,hold the Physician license(NO.01070893A) which status is Inactive.
| Name | Chougule, Prakash |
|---|---|
| License Number | 01070893A |
| License Type | Physician |
| License Status | Inactive |
| City | East Greenwich |
| State | RI |