The holder whose full name is Desy, Alain,come from Lafayette IN,hold the CSR-Physician license(NO.01066057B) which status is Expired.
| Name | Desy, Alain |
|---|---|
| License Number | 01066057B |
| License Type | CSR-Physician |
| License Status | Expired |
| City | Lafayette |
| State | IN |