The holder whose full name is POWELL, LORINE ANN,come from LOUISVILLE KY,hold the Physician license(NO.01048090A) which status is Expired Non-Renewable.
Name | POWELL, LORINE ANN |
---|---|
License Number | 01048090A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | LOUISVILLE |
State | KY |