The holder whose full name is SMITH, KENNETH LAMONT,come from LOUISVILLE KY,hold the Physician license(NO.01027703A) which status is Expired Non-Renewable.
Name | SMITH, KENNETH LAMONT |
---|---|
License Number | 01027703A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | LOUISVILLE |
State | KY |