The holder whose full name is PRATT, DONNA ELIZABETH,come from LAFAYETTE IN,hold the CSR-Physician license(NO.01042559B) which status is Expired.
| Name | PRATT, DONNA ELIZABETH |
|---|---|
| License Number | 01042559B |
| License Type | CSR-Physician |
| License Status | Expired |
| City | LAFAYETTE |
| State | IN |