The holder whose full name is CEPELA, MARK ALLEN,come from EDGEWOOD KY,hold the Physician license(NO.01037583A) which status is Expired Non-Renewable.
Name | CEPELA, MARK ALLEN |
---|---|
License Number | 01037583A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | EDGEWOOD |
State | KY |