The holder whose full name is DIRKS, KENNETH RAY,come from SILVER SPRING MD,hold the Physician license(NO.01016991A) which status is Expired Non-Renewable.
| Name | DIRKS, KENNETH RAY |
|---|---|
| License Number | 01016991A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | SILVER SPRING |
| State | MD |