The holder whose full name is Fishberg, Alexander,come from Wabash IN,hold the CSR-Physician license(NO.01052422B) which status is Expired.
| Name | Fishberg, Alexander |
|---|---|
| License Number | 01052422B |
| License Type | CSR-Physician |
| License Status | Expired |
| City | Wabash |
| State | IN |