The holder whose full name is Koch, Elmer Leonard,come from PRESCOTT AZ,hold the Physician license(NO.01015733A) which status is Expired Non-Renewable.
| Name | Koch, Elmer Leonard |
|---|---|
| License Number | 01015733A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | PRESCOTT |
| State | AZ |