The holder whose full name is BRANTLEY, KENNETH MICHAEL,come from CHARLOTTESVILLE VA,hold the Physician license(NO.01034346A) which status is Expired Non-Renewable.
Name | BRANTLEY, KENNETH MICHAEL |
---|---|
License Number | 01034346A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | CHARLOTTESVILLE |
State | VA |