The holder whose full name is Ghoniem, Ayman A.,come from Terre Haute IN,hold the CSR-Physician license(NO.01056877B) which status is Expired.
| Name | Ghoniem, Ayman A. |
|---|---|
| License Number | 01056877B |
| License Type | CSR-Physician |
| License Status | Expired |
| City | Terre Haute |
| State | IN |