The holder whose full name is Pickard, Clay Mitchell,come from OUT OF STATE KY,hold the CSR-Physician license(NO.01033693B) which status is Expired.
| Name | Pickard, Clay Mitchell |
|---|---|
| License Number | 01033693B |
| License Type | CSR-Physician |
| License Status | Expired |
| City | OUT OF STATE |
| State | KY |