The holder whose full name is Bachuss, Amanda Beth,come from Newburgh IN,hold the CSR-Physician license(NO.01071694B) which status is Expired.
| Name | Bachuss, Amanda Beth |
|---|---|
| License Number | 01071694B |
| License Type | CSR-Physician |
| License Status | Expired |
| City | Newburgh |
| State | IN |