The holder whose full name is Sorge, Brian Randall,come from FORT WAYNE IN,hold the CSR-Physician license(NO.01036114B) which status is Expired.
| Name | Sorge, Brian Randall |
|---|---|
| License Number | 01036114B |
| License Type | CSR-Physician |
| License Status | Expired |
| City | FORT WAYNE |
| State | IN |