The holder whose full name is Johnson, Jay Thomas,come from Louisville KY,hold the Osteopathic Physician license(NO.02003640A) which status is Expired Non-Renewable.
| Name | Johnson, Jay Thomas |
|---|---|
| License Number | 02003640A |
| License Type | Osteopathic Physician |
| License Status | Expired Non-Renewable |
| City | Louisville |
| State | KY |