The holder whose full name is McDonald, Walter Everett,come from GARY IN,hold the CSR-Physician license(NO.01018079B) which status is Expired.
| Name | McDonald, Walter Everett |
|---|---|
| License Number | 01018079B |
| License Type | CSR-Physician |
| License Status | Expired |
| City | GARY |
| State | IN |