The holder whose full name is Goolsby III, Henry Jackson,come from DURHAM NC,hold the Physician license(NO.01036974A) which status is Expired Non-Renewable.
| Name | Goolsby III, Henry Jackson |
|---|---|
| License Number | 01036974A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | DURHAM |
| State | NC |