The holder whose full name is BASS, ANDORA LYNN,come from Louisville KY,hold the Physician license(NO.01055197A) which status is Expired Non-Renewable.
| Name | BASS, ANDORA LYNN |
|---|---|
| License Number | 01055197A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | Louisville |
| State | KY |