The holder whose full name is Motley, Charles F.,come from La Porte IN,hold the CSR-Physician license(NO.01030248B) which status is Active.
| Name | Motley, Charles F. |
|---|---|
| License Number | 01030248B |
| License Type | CSR-Physician |
| License Status | Active |
| City | La Porte |
| State | IN |