The holder whose full name is GERUGHTY, ACK RAY,come from LOUISVILLE KY,hold the Physician license(NO.01035625A) which status is Expired Non-Renewable.
Name | GERUGHTY, ACK RAY |
---|---|
License Number | 01035625A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | LOUISVILLE |
State | KY |