The holder whose full name is White, David A.,come from Shelbyville IN,hold the CSR-Physician license(NO.01056105B) which status is Expired.
| Name | White, David A. |
|---|---|
| License Number | 01056105B |
| License Type | CSR-Physician |
| License Status | Expired |
| City | Shelbyville |
| State | IN |