The holder whose full name is Chakrabarti, Ashis Kumar,come from Terre Haute IN,hold the CSR-Physician license(NO.01054036C) which status is Expired.
| Name | Chakrabarti, Ashis Kumar |
|---|---|
| License Number | 01054036C |
| License Type | CSR-Physician |
| License Status | Expired |
| City | Terre Haute |
| State | IN |