The holder whose full name is TATA, SUDHA,come from Snellville GA,hold the Physician license(NO.01051167A) which status is Expired Non-Renewable.
Name | TATA, SUDHA |
---|---|
License Number | 01051167A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | Snellville |
State | GA |