The holder whose full name is McCullough, Prentice Michael,come from Jacksonville FL,hold the Physician license(NO.01055098A) which status is Expired Non-Renewable.
| Name | McCullough, Prentice Michael |
|---|---|
| License Number | 01055098A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | Jacksonville |
| State | FL |