The holder whose full name is CODDENS, AVERY LAWRENCE,come from FOWLER IN,hold the CSR-Physician license(NO.01015948B) which status is Expired.
| Name | CODDENS, AVERY LAWRENCE |
|---|---|
| License Number | 01015948B |
| License Type | CSR-Physician |
| License Status | Expired |
| City | FOWLER |
| State | IN |