The holder whose full name is SPRAGUE, DAVID SAMUEL,come from KENDALLVILLE IN,hold the CSR-Physician license(NO.01018838B) which status is Expired.
| Name | SPRAGUE, DAVID SAMUEL |
|---|---|
| License Number | 01018838B |
| License Type | CSR-Physician |
| License Status | Expired |
| City | KENDALLVILLE |
| State | IN |