The holder whose full name is Baghdassarian, David,come from Lagrange IN,hold the CSR-Physician license(NO.01070254B) which status is Expired.
| Name | Baghdassarian, David |
|---|---|
| License Number | 01070254B |
| License Type | CSR-Physician |
| License Status | Expired |
| City | Lagrange |
| State | IN |