The holder whose full name is Basu, Ashish Kumar,come from Evansville IN,hold the CSR-Physician license(NO.01055623B) which status is Expired.
| Name | Basu, Ashish Kumar |
|---|---|
| License Number | 01055623B |
| License Type | CSR-Physician |
| License Status | Expired |
| City | Evansville |
| State | IN |