The holder whose full name is Demenko, Aleksandr V.,come from Fort Wayne IN,hold the CSR-Physician license(NO.01069907B) which status is Expired.
| Name | Demenko, Aleksandr V. |
|---|---|
| License Number | 01069907B |
| License Type | CSR-Physician |
| License Status | Expired |
| City | Fort Wayne |
| State | IN |