The holder whose full name is ISHAK, BADR A,come from Valparaiso IN,hold the CSR-Physician license(NO.01031996B) which status is Expired.
| Name | ISHAK, BADR A |
|---|---|
| License Number | 01031996B |
| License Type | CSR-Physician |
| License Status | Expired |
| City | Valparaiso |
| State | IN |