The holder whose full name is CARLSON, DUWAYNE ALLEN,come from Indianapolis IN,hold the CSR-Physician license(NO.01049907B) which status is Expired.
| Name | CARLSON, DUWAYNE ALLEN |
|---|---|
| License Number | 01049907B |
| License Type | CSR-Physician |
| License Status | Expired |
| City | Indianapolis |
| State | IN |