The holder whose full name is TIERNEY, BRIAN PATRICK,come from Prospect KY,hold the Physician license(NO.01054223A) which status is Expired Non-Renewable.
Name | TIERNEY, BRIAN PATRICK |
---|---|
License Number | 01054223A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | Prospect |
State | KY |