The holder whose full name is MacLean, Charles Leslie,come from Huntington IN,hold the CSR-Physician license(NO.01048224B) which status is Active.
| Name | MacLean, Charles Leslie |
|---|---|
| License Number | 01048224B |
| License Type | CSR-Physician |
| License Status | Active |
| City | Huntington |
| State | IN |