The holder whose full name is Dzenitis, Andrievs J.,come from Louisville KY,hold the Physician license(NO.01019053A) which status is Expired Non-Renewable.
Name | Dzenitis, Andrievs J. |
---|---|
License Number | 01019053A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | Louisville |
State | KY |