The holder whose full name is BRANDT, KENNETH DANIEL,come from Fairway KS,hold the Physician license(NO.01026456A) which status is Expired.
| Name | BRANDT, KENNETH DANIEL |
|---|---|
| License Number | 01026456A |
| License Type | Physician |
| License Status | Expired |
| City | Fairway |
| State | KS |