The holder whose full name is Herrera, Eric Omar,come from Michigan City IN,hold the CSR-Physician license(NO.01066055B) which status is Expired.
| Name | Herrera, Eric Omar |
|---|---|
| License Number | 01066055B |
| License Type | CSR-Physician |
| License Status | Expired |
| City | Michigan City |
| State | IN |