The holder whose full name is Kawadry, Bassam,come from Griffith IN,hold the CSR-Physician license(NO.01049211C) which status is Expired.
| Name | Kawadry, Bassam |
|---|---|
| License Number | 01049211C |
| License Type | CSR-Physician |
| License Status | Expired |
| City | Griffith |
| State | IN |