The holder whose full name is Ray, Vincent LaValles Gills,come from Merrillville IN,hold the CSR-Physician license(NO.01069998B) which status is Expired.
| Name | Ray, Vincent LaValles Gills |
|---|---|
| License Number | 01069998B |
| License Type | CSR-Physician |
| License Status | Expired |
| City | Merrillville |
| State | IN |