The holder whose full name is Zalac, Donald Albert,come from MICHIGAN CITY IN,hold the CSR-Physician license(NO.01014844B) which status is Expired.
| Name | Zalac, Donald Albert |
|---|---|
| License Number | 01014844B |
| License Type | CSR-Physician |
| License Status | Expired |
| City | MICHIGAN CITY |
| State | IN |