The holder whose full name is Stein, Barry Stanley,come from South Bend IN,hold the CSR-Physician license(NO.01067770B) which status is Expired.
| Name | Stein, Barry Stanley |
|---|---|
| License Number | 01067770B |
| License Type | CSR-Physician |
| License Status | Expired |
| City | South Bend |
| State | IN |