The holder whose full name is Penney, Larry Lee,come from Coeur D Alene ID,hold the Physician license(NO.01035796A) which status is Expired Non-Renewable.
| Name | Penney, Larry Lee |
|---|---|
| License Number | 01035796A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | Coeur D Alene |
| State | ID |