The holder whose full name is Kauffman, Clinton LeRoy,come from Winamac IN,hold the CSR-Physician license(NO.01057944B) which status is Active.
| Name | Kauffman, Clinton LeRoy |
|---|---|
| License Number | 01057944B |
| License Type | CSR-Physician |
| License Status | Active |
| City | Winamac |
| State | IN |