The holder whose full name is Creevy, Joseph,come from Edgewood KY,hold the Physician license(NO.01061941A) which status is Expired Non-Renewable.
Name | Creevy, Joseph |
---|---|
License Number | 01061941A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | Edgewood |
State | KY |