The holder whose full name is Witten, Carroll Lewis,come from Louisville KY,hold the Physician license(NO.01028773A) which status is Expired Non-Renewable.
| Name | Witten, Carroll Lewis |
|---|---|
| License Number | 01028773A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | Louisville |
| State | KY |