The holder whose full name is KETTELHUT, BRETT VAN,come from Omaha NE,hold the Physician license(NO.01036672A) which status is Expired Non-Renewable.
| Name | KETTELHUT, BRETT VAN |
|---|---|
| License Number | 01036672A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | Omaha |
| State | NE |