The holder whose full name is YOUNG, KEVIN ROBERT,come from LAKE CHARLES LA,hold the Physician license(NO.01036194A) which status is Expired Non-Renewable.
Name | YOUNG, KEVIN ROBERT |
---|---|
License Number | 01036194A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | LAKE CHARLES |
State | LA |