The holder whose full name is Ford, Charles Roy,come from Fort Knox KY,hold the Physician license(NO.01024581A) which status is Expired Non-Renewable.
| Name | Ford, Charles Roy |
|---|---|
| License Number | 01024581A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | Fort Knox |
| State | KY |