The holder whose full name is Milem, Charles A.,come from TELL CITY IN,hold the CSR-Physician license(NO.01046310B) which status is Expired.
| Name | Milem, Charles A. |
|---|---|
| License Number | 01046310B |
| License Type | CSR-Physician |
| License Status | Expired |
| City | TELL CITY |
| State | IN |