The holder whose full name is Mallik, Balwant Singh,come from INDIANAPOLIS IN,hold the CSR-Physician license(NO.01029914B) which status is Expired.
| Name | Mallik, Balwant Singh |
|---|---|
| License Number | 01029914B |
| License Type | CSR-Physician |
| License Status | Expired |
| City | INDIANAPOLIS |
| State | IN |