The holder whose full name is Gauntt, Chiaki D.,come from Prospect KY,hold the Physician license(NO.01064301A) which status is Expired Non-Renewable.
| Name | Gauntt, Chiaki D. |
|---|---|
| License Number | 01064301A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | Prospect |
| State | KY |