The holder whose full name is MARTIN, DENIS GODFREY,come from PROSPECT KY,hold the Physician license(NO.01035758A) which status is Expired Non-Renewable.
Name | MARTIN, DENIS GODFREY |
---|---|
License Number | 01035758A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | PROSPECT |
State | KY |