The holder whose full name is DOLEZAL, BERNARD JOSEPH,come from SOUTH BEND IN,hold the CSR-Physician license(NO.01015708B) which status is Expired.
Name | DOLEZAL, BERNARD JOSEPH |
---|---|
License Number | 01015708B |
License Type | CSR-Physician |
License Status | Expired |
City | SOUTH BEND |
State | IN |