The holder whose full name is Cummiskey, Daniel Jeffrey,come from Columbia City IN,hold the CSR-Physician license(NO.01038613B) which status is Expired.
| Name | Cummiskey, Daniel Jeffrey |
|---|---|
| License Number | 01038613B |
| License Type | CSR-Physician |
| License Status | Expired |
| City | Columbia City |
| State | IN |