The holder whose full name is LARSON, PENNY LEE,come from Hinesville GA,hold the Physician license(NO.01051820A) which status is Expired Non-Renewable.
Name | LARSON, PENNY LEE |
---|---|
License Number | 01051820A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | Hinesville |
State | GA |