The holder whose full name is Tatum, Clifton Mattingly,come from Louisville KY,hold the Physician license(NO.01046204A) which status is Active.
| Name | Tatum, Clifton Mattingly |
|---|---|
| License Number | 01046204A |
| License Type | Physician |
| License Status | Active |
| City | Louisville |
| State | KY |