The holder whose full name is Payne, Lucretia Mae,come from Louisville KY,hold the Physician license(NO.01044591A) which status is Expired Non-Renewable.
| Name | Payne, Lucretia Mae |
|---|---|
| License Number | 01044591A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | Louisville |
| State | KY |