The holder whose full name is TABOTABO, MEDARDO MORRE,come from Middlesboro KY,hold the Physician license(NO.01052056A) which status is Expired Non-Renewable.
Name | TABOTABO, MEDARDO MORRE |
---|---|
License Number | 01052056A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | Middlesboro |
State | KY |