The holder whose full name is ITARUT, PRAVEJ,come from EVANSVILLE IN,hold the Physician license(NO.01027224A) which status is Expired Non-Renewable.
Name | ITARUT, PRAVEJ |
---|---|
License Number | 01027224A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | EVANSVILLE |
State | IN |