The holder whose full name is JOHNSON, BRIAN ALAN,come from WINAMAC IN,hold the CSR-Physician license(NO.01037880B) which status is Active.
| Name | JOHNSON, BRIAN ALAN |
|---|---|
| License Number | 01037880B |
| License Type | CSR-Physician |
| License Status | Active |
| City | WINAMAC |
| State | IN |