The holder whose full name is De Witt, Asuncion Umali,come from Terre Haute IN,hold the CSR-Physician license(NO.01027303B) which status is Expired.
| Name | De Witt, Asuncion Umali |
|---|---|
| License Number | 01027303B |
| License Type | CSR-Physician |
| License Status | Expired |
| City | Terre Haute |
| State | IN |