The holder whose full name is BONACCORSI, BENITO ITALO,come from WATERBURY CT,hold the Physician license(NO.01022101A) which status is Expired Non-Renewable.
| Name | BONACCORSI, BENITO ITALO |
|---|---|
| License Number | 01022101A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | WATERBURY |
| State | CT |