The holder whose full name is LASSETER, DEAN BRIAN,come from Warsaw IN,hold the CSR-Physician license(NO.01046957B) which status is Expired.
| Name | LASSETER, DEAN BRIAN |
|---|---|
| License Number | 01046957B |
| License Type | CSR-Physician |
| License Status | Expired |
| City | Warsaw |
| State | IN |