The holder whose full name is LONGNECKER, DAVID EUGENE,come from COLUMBIA MO,hold the Physician license(NO.01020482A) which status is Expired Non-Renewable.
Name | LONGNECKER, DAVID EUGENE |
---|---|
License Number | 01020482A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | COLUMBIA |
State | MO |