The holder whose full name is King, Joseph Prather,come from Indianapolis IN,hold the Physician license(NO.01016219A) which status is Expired Non-Renewable.
| Name | King, Joseph Prather |
|---|---|
| License Number | 01016219A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | Indianapolis |
| State | IN |