The holder whose full name is KUPKE, KENNETH MELVIN,come from LEESBURG FL,hold the Physician license(NO.01034125A) which status is Expired Non-Renewable.
Name | KUPKE, KENNETH MELVIN |
---|---|
License Number | 01034125A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | LEESBURG |
State | FL |