The holder whose full name is RUSK, DAVID ALAN,come from FORT WAYNE IN,hold the CSR-Physician license(NO.01042829B) which status is Active.
| Name | RUSK, DAVID ALAN |
|---|---|
| License Number | 01042829B |
| License Type | CSR-Physician |
| License Status | Active |
| City | FORT WAYNE |
| State | IN |