The holder whose full name is SCHMIDT, CARL JACOB,come from FORT MITCHELL KY,hold the Physician license(NO.01045178A) which status is Expired Non-Renewable.
Name | SCHMIDT, CARL JACOB |
---|---|
License Number | 01045178A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | FORT MITCHELL |
State | KY |