The holder whose full name is PHIPPS, ELWOOD BRINTON,come from MONTICELLO IN,hold the CSR-Physician license(NO.01015871B) which status is Expired.
| Name | PHIPPS, ELWOOD BRINTON |
|---|---|
| License Number | 01015871B |
| License Type | CSR-Physician |
| License Status | Expired |
| City | MONTICELLO |
| State | IN |