The holder whose full name is Potti, Deepa Retnem,come from Saint John IN,hold the CSR-Physician license(NO.01061304B) which status is Expired.
| Name | Potti, Deepa Retnem |
|---|---|
| License Number | 01061304B |
| License Type | CSR-Physician |
| License Status | Expired |
| City | Saint John |
| State | IN |