The holder whose full name is Porayette, Prashob,come from Brookline MA,hold the Physician license(NO.01070115A) which status is Inactive.
| Name | Porayette, Prashob |
|---|---|
| License Number | 01070115A |
| License Type | Physician |
| License Status | Inactive |
| City | Brookline |
| State | MA |