The holder whose full name is Giddaluri, Prakash,come from San Antonio TX,hold the Physician license(NO.01065028A) which status is Expired Non-Renewable.
| Name | Giddaluri, Prakash |
|---|---|
| License Number | 01065028A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | San Antonio |
| State | TX |