The holder whose full name is HAYGOOD, EDYTHE CARRIE,come from HUNTINGBURG IN,hold the CSR-Physician license(NO.01051487B) which status is Expired.
| Name | HAYGOOD, EDYTHE CARRIE |
|---|---|
| License Number | 01051487B |
| License Type | CSR-Physician |
| License Status | Expired |
| City | HUNTINGBURG |
| State | IN |