The holder whose full name is Patterson, Dale Alan,come from SOUTH BEND IN,hold the CSR-Physician license(NO.01048950B) which status is Expired.
| Name | Patterson, Dale Alan |
|---|---|
| License Number | 01048950B |
| License Type | CSR-Physician |
| License Status | Expired |
| City | SOUTH BEND |
| State | IN |