The holder whose full name is Cooper, Carolyn Booker,come from West Lafayette IN,hold the CSR-Physician license(NO.01042922B) which status is Active.
| Name | Cooper, Carolyn Booker |
|---|---|
| License Number | 01042922B |
| License Type | CSR-Physician |
| License Status | Active |
| City | West Lafayette |
| State | IN |