The holder whose full name is Eisenbarth, Elmer John,come from INDIANAPOLIS IN,hold the CSR-Physician license(NO.01016198B) which status is Expired.
| Name | Eisenbarth, Elmer John |
|---|---|
| License Number | 01016198B |
| License Type | CSR-Physician |
| License Status | Expired |
| City | INDIANAPOLIS |
| State | IN |