The holder whose full name is COVINGTON, CONSTANCE JOAN,come from VALPARAISO IN,hold the CSR-Physician license(NO.01020377B) which status is Expired.
| Name | COVINGTON, CONSTANCE JOAN |
|---|---|
| License Number | 01020377B |
| License Type | CSR-Physician |
| License Status | Expired |
| City | VALPARAISO |
| State | IN |