The holder whose full name is Primm, Kenneth Darrell,come from Downers Grove IL,hold the Physician license(NO.01060295A) which status is Probation/Expired.
Name | Primm, Kenneth Darrell |
---|---|
License Number | 01060295A |
License Type | Physician |
License Status | Probation/Expired |
City | Downers Grove |
State | IL |