The holder whose full name is Lambert, Destry W.,come from Tipton IN,hold the CSR-Physician license(NO.01024399B) which status is Expired.
| Name | Lambert, Destry W. |
|---|---|
| License Number | 01024399B |
| License Type | CSR-Physician |
| License Status | Expired |
| City | Tipton |
| State | IN |