The holder whose full name is Gholam, Pierre,come from Providence RI,hold the Physician license(NO.01055352A) which status is Expired Non-Renewable.
| Name | Gholam, Pierre |
|---|---|
| License Number | 01055352A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | Providence |
| State | RI |