The holder whose full name is Holt, Homer Anthony,come from Louisville KY,hold the Physician license(NO.01034116A) which status is Probation/Expired.
| Name | Holt, Homer Anthony |
|---|---|
| License Number | 01034116A |
| License Type | Physician |
| License Status | Probation/Expired |
| City | Louisville |
| State | KY |