The holder whose full name is Jones, Timothy David,come from Prospect KY,hold the Medical Residency Permit license(NO.11010921A) which status is Superceded.
| Name | Jones, Timothy David |
|---|---|
| License Number | 11010921A |
| License Type | Medical Residency Permit |
| License Status | Superceded |
| City | Prospect |
| State | KY |