The holder whose full name is LOCKHART, DAVID WAYNE,come from QUINCY IL,hold the Physician license(NO.01027112A) which status is Expired Non-Renewable.
| Name | LOCKHART, DAVID WAYNE |
|---|---|
| License Number | 01027112A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | QUINCY |
| State | IL |