The holder whose full name is DIESSNER, ARDELL WILLIAM,come from TERRE HAUTE IN,hold the CSR-Physician license(NO.01038680C) which status is Expired.
| Name | DIESSNER, ARDELL WILLIAM |
|---|---|
| License Number | 01038680C |
| License Type | CSR-Physician |
| License Status | Expired |
| City | TERRE HAUTE |
| State | IN |