The holder whose full name is Pruitt, Jacob Edward,come from Scottsdale AZ,hold the Physician license(NO.01015267A) which status is Expired Non-Renewable.
| Name | Pruitt, Jacob Edward |
|---|---|
| License Number | 01015267A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | Scottsdale |
| State | AZ |