The holder whose full name is DEVINE, CHRISTOPHER JONATHAN,come from COVINGTON KY,hold the Physician license(NO.01049872A) which status is Expired Non-Renewable.
Name | DEVINE, CHRISTOPHER JONATHAN |
---|---|
License Number | 01049872A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | COVINGTON |
State | KY |