The holder whose full name is Stallman Jr, Carl F,come from KENDALLVILLE IN,hold the CSR-Physician license(NO.01016253B) which status is Expired.
| Name | Stallman Jr, Carl F |
|---|---|
| License Number | 01016253B |
| License Type | CSR-Physician |
| License Status | Expired |
| City | KENDALLVILLE |
| State | IN |