The holder whose full name is PAXSON, EDWIN M,come from LOUISVILLE KY,hold the Physician license(NO.01034649A) which status is Expired Non-Renewable.
Name | PAXSON, EDWIN M |
---|---|
License Number | 01034649A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | LOUISVILLE |
State | KY |