The holder whose full name is HAMMITT, KARLEEN BASCOM,come from PRESCOTT AZ,hold the Physician license(NO.01021429A) which status is Expired Non-Renewable.
Name | HAMMITT, KARLEEN BASCOM |
---|---|
License Number | 01021429A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | PRESCOTT |
State | AZ |