The holder whose full name is EASTERLING, KENNETH JAY,come from WASHINGTON DC,hold the Physician license(NO.01041011A) which status is Expired Non-Renewable.
Name | EASTERLING, KENNETH JAY |
---|---|
License Number | 01041011A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | WASHINGTON |
State | DC |