The holder whose full name is PAYNE, VAUGHN W,come from LOUISVILLE KY,hold the Physician license(NO.01036178A) which status is Expired Non-Renewable.
Name | PAYNE, VAUGHN W |
---|---|
License Number | 01036178A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | LOUISVILLE |
State | KY |