The holder whose full name is SMITH, DWAYNE VAUGHN,come from Fort Mitchell KY,hold the Physician license(NO.01034941A) which status is Expired Non-Renewable.
Name | SMITH, DWAYNE VAUGHN |
---|---|
License Number | 01034941A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | Fort Mitchell |
State | KY |