The holder whose full name is REDDY, VISWANATHA KURUKUNDHA,come from FORT WAYNE IN,hold the CSR-Physician license(NO.01050595B) which status is Expired.
| Name | REDDY, VISWANATHA KURUKUNDHA |
|---|---|
| License Number | 01050595B |
| License Type | CSR-Physician |
| License Status | Expired |
| City | FORT WAYNE |
| State | IN |