The holder whose full name is Northington, Alan P.,come from Louisville KY,hold the Medical Residency Permit license(NO.11012393A) which status is Superceded.
Name | Northington, Alan P. |
---|---|
License Number | 11012393A |
License Type | Medical Residency Permit |
License Status | Superceded |
City | Louisville |
State | KY |