The holder whose full name is DRAKE, CHARLES EDWARD,come from HUNTINGBURG IN,hold the CSR-Physician license(NO.01029952B) which status is Expired.
| Name | DRAKE, CHARLES EDWARD |
|---|---|
| License Number | 01029952B |
| License Type | CSR-Physician |
| License Status | Expired |
| City | HUNTINGBURG |
| State | IN |