The holder whose full name is HARRISON, KENNETH DALE,come from COLORADO SPRINGS CO,hold the Physician license(NO.01022186A) which status is Expired Non-Renewable.
Name | HARRISON, KENNETH DALE |
---|---|
License Number | 01022186A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | COLORADO SPRINGS |
State | CO |