The holder whose full name is INOUE, KENNETH HAJIME,come from BLOOMINGTON IL,hold the Physician license(NO.01040916A) which status is Expired Non-Renewable.
| Name | INOUE, KENNETH HAJIME |
|---|---|
| License Number | 01040916A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | BLOOMINGTON |
| State | IL |