The holder whose full name is HINES, BRUCE EDWARD,come from LOUISVILLE KY,hold the Physician license(NO.01045968A) which status is Expired Non-Renewable.
Name | HINES, BRUCE EDWARD |
---|---|
License Number | 01045968A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | LOUISVILLE |
State | KY |