The holder whose full name is Ramirez-Icaza, Carlos Javier,come from Louisville KY,hold the Physician license(NO.01049250A) which status is Active.
| Name | Ramirez-Icaza, Carlos Javier |
|---|---|
| License Number | 01049250A |
| License Type | Physician |
| License Status | Active |
| City | Louisville |
| State | KY |