The holder whose full name is KOPP, WAYNE J,come from OUT OF STATE KY,hold the CSR-Physician license(NO.01031753B) which status is Expired.
| Name | KOPP, WAYNE J |
|---|---|
| License Number | 01031753B |
| License Type | CSR-Physician |
| License Status | Expired |
| City | OUT OF STATE |
| State | KY |