The holder whose full name is BUCHANAN, DAVID ALLEN,come from EAST CHICAGO IN,hold the CSR-Physician license(NO.01035497B) which status is Expired.
| Name | BUCHANAN, DAVID ALLEN |
|---|---|
| License Number | 01035497B |
| License Type | CSR-Physician |
| License Status | Expired |
| City | EAST CHICAGO |
| State | IN |