The holder whose full name is ALLEN, KENNETH SPACE,come from MINDEN NV,hold the Physician license(NO.01039755A) which status is Expired Non-Renewable.
| Name | ALLEN, KENNETH SPACE |
|---|---|
| License Number | 01039755A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | MINDEN |
| State | NV |