The holder whose full name is FOUTS, DALLAS BYRNE,come from LEES SUMMIT MO,hold the Physician license(NO.01017056A) which status is Expired Non-Renewable.
| Name | FOUTS, DALLAS BYRNE |
|---|---|
| License Number | 01017056A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | LEES SUMMIT |
| State | MO |