The holder whose full name is Mattingly, Nicholas Charles,come from Prospect KY,hold the Medical Residency Permit license(NO.11013354A) which status is Expired.
| Name | Mattingly, Nicholas Charles |
|---|---|
| License Number | 11013354A |
| License Type | Medical Residency Permit |
| License Status | Expired |
| City | Prospect |
| State | KY |