The holder whose full name is CLARK, JAMES IRVING,come from NATCHEZ MS,hold the Physician license(NO.01020612A) which status is Expired Non-Renewable.
Name | CLARK, JAMES IRVING |
---|---|
License Number | 01020612A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | NATCHEZ |
State | MS |