The holder whose full name is ENGEL SR, EDGAR L,come from SANTA CLAUS IN,hold the CSR-Physician license(NO.01013502B) which status is Expired.
| Name | ENGEL SR, EDGAR L |
|---|---|
| License Number | 01013502B |
| License Type | CSR-Physician |
| License Status | Expired |
| City | SANTA CLAUS |
| State | IN |