The holder whose full name is SCHAEFFER, BERTON TIMOTHY,come from OUT OF STATE TN,hold the CSR-Physician license(NO.01036487B) which status is Expired.
| Name | SCHAEFFER, BERTON TIMOTHY |
|---|---|
| License Number | 01036487B |
| License Type | CSR-Physician |
| License Status | Expired |
| City | OUT OF STATE |
| State | TN |