The holder whose full name is Houk, Brandon Lyle,come from Indianapolis IN,hold the CSR-Physician license(NO.01063254B) which status is Expired.
| Name | Houk, Brandon Lyle |
|---|---|
| License Number | 01063254B |
| License Type | CSR-Physician |
| License Status | Expired |
| City | Indianapolis |
| State | IN |