The holder whose full name is MOATS, CARL F,come from FORT WAYNE IN,hold the CSR-Physician license(NO.01012227B) which status is Expired.
| Name | MOATS, CARL F |
|---|---|
| License Number | 01012227B |
| License Type | CSR-Physician |
| License Status | Expired |
| City | FORT WAYNE |
| State | IN |