The holder whose full name is Carpenter, Corey Micah,come from Frankfort IN,hold the CSR-Physician license(NO.01067772B) which status is Expired.
| Name | Carpenter, Corey Micah |
|---|---|
| License Number | 01067772B |
| License Type | CSR-Physician |
| License Status | Expired |
| City | Frankfort |
| State | IN |