The holder whose full name is SCHMIDT, CARL JACOB,come from PLAINFIELD IN,hold the CSR-Physician license(NO.01045178B) which status is Expired.
| Name | SCHMIDT, CARL JACOB |
|---|---|
| License Number | 01045178B |
| License Type | CSR-Physician |
| License Status | Expired |
| City | PLAINFIELD |
| State | IN |