The holder whose full name is Selvarajah, Prrasonna,come from New Hartford NY,hold the Physician license(NO.01067609A) which status is Expired Non-Renewable.
Name | Selvarajah, Prrasonna |
---|---|
License Number | 01067609A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | New Hartford |
State | NY |