The holder whose full name is GARADA, TAREK,come from PRESTONSBURG KY,hold the Physician license(NO.01045956A) which status is Expired Non-Renewable.
Name | GARADA, TAREK |
---|---|
License Number | 01045956A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | PRESTONSBURG |
State | KY |