The holder whose full name is Mills, Betty Jo A.,come from Terre Haute IN,hold the CSR-Physician license(NO.01062343B) which status is Active.
| Name | Mills, Betty Jo A. |
|---|---|
| License Number | 01062343B |
| License Type | CSR-Physician |
| License Status | Active |
| City | Terre Haute |
| State | IN |