The holder whose full name is MAC LELLAN, ANDREW JAMES,come from Knoxville TN,hold the Physician license(NO.01041028A) which status is Expired Non-Renewable.
Name | MAC LELLAN, ANDREW JAMES |
---|---|
License Number | 01041028A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | Knoxville |
State | TN |