The holder whose full name is NICHOLS II, GEORGE RILEY,come from Louisville KY,hold the Physician license(NO.01036519A) which status is Expired Non-Renewable.
Name | NICHOLS II, GEORGE RILEY |
---|---|
License Number | 01036519A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | Louisville |
State | KY |