The holder whose full name is Fadul, Armando,come from MERRILLVILLE IN,hold the CSR-Physician license(NO.01016574B) which status is Expired.
| Name | Fadul, Armando |
|---|---|
| License Number | 01016574B |
| License Type | CSR-Physician |
| License Status | Expired |
| City | MERRILLVILLE |
| State | IN |