The holder whose full name is Weise, Barbara A.,come from Fort Wayne IN,hold the CSR-Physician license(NO.01062110B) which status is Expired.
| Name | Weise, Barbara A. |
|---|---|
| License Number | 01062110B |
| License Type | CSR-Physician |
| License Status | Expired |
| City | Fort Wayne |
| State | IN |