The holder whose full name is Lazarus, Barry Alan,come from Bluffton IN,hold the CSR-Physician license(NO.01052685B) which status is Expired.
| Name | Lazarus, Barry Alan |
|---|---|
| License Number | 01052685B |
| License Type | CSR-Physician |
| License Status | Expired |
| City | Bluffton |
| State | IN |