The holder whose full name is MIRZAMOHAMMADI, BAHRAM,come from Indianapolis IN,hold the CSR-Physician license(NO.01047782B) which status is Active.
| Name | MIRZAMOHAMMADI, BAHRAM |
|---|---|
| License Number | 01047782B |
| License Type | CSR-Physician |
| License Status | Active |
| City | Indianapolis |
| State | IN |