The holder whose full name is VENUGOPAL, PRABHA,come from MENTOR OH,hold the Physician license(NO.01029937A) which status is Expired Non-Renewable.
| Name | VENUGOPAL, PRABHA |
|---|---|
| License Number | 01029937A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | MENTOR |
| State | OH |