The holder whose full name is Divish, Barbara Jean,come from Shelbyville IN,hold the CSR-Physician license(NO.01048913B) which status is Expired.
| Name | Divish, Barbara Jean |
|---|---|
| License Number | 01048913B |
| License Type | CSR-Physician |
| License Status | Expired |
| City | Shelbyville |
| State | IN |