The holder whose full name is JACKSON, DEAN B,come from LOUISVILLE KY,hold the Physician license(NO.01013589A) which status is Expired Non-Renewable.
| Name | JACKSON, DEAN B |
|---|---|
| License Number | 01013589A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | LOUISVILLE |
| State | KY |