The holder whose full name is Jacobs, Alfred Allen,come from Louisville KY,hold the Physician license(NO.01035676A) which status is Expired Non-Renewable.
| Name | Jacobs, Alfred Allen |
|---|---|
| License Number | 01035676A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | Louisville |
| State | KY |