The holder whose full name is KOHLSTAEDT, KENNETH GEORGE,come from PALM SPRINGS CA,hold the Physician license(NO.01012167A) which status is Expired Non-Renewable.
Name | KOHLSTAEDT, KENNETH GEORGE |
---|---|
License Number | 01012167A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | PALM SPRINGS |
State | CA |