The holder whose full name is Engel, Alan B.,come from Mishawaka IN,hold the CSR-Physician license(NO.01040471B) which status is Active.
| Name | Engel, Alan B. |
|---|---|
| License Number | 01040471B |
| License Type | CSR-Physician |
| License Status | Active |
| City | Mishawaka |
| State | IN |