The holder whose full name is Paine, Charles S.,come from AUBURN IN,hold the CSR-Physician license(NO.01036853C) which status is Expired.
| Name | Paine, Charles S. |
|---|---|
| License Number | 01036853C |
| License Type | CSR-Physician |
| License Status | Expired |
| City | AUBURN |
| State | IN |