The holder whose full name is Halaby, Fouad Assad,come from Auburn IN,hold the CSR-Physician license(NO.01020715B) which status is Expired.
| Name | Halaby, Fouad Assad |
|---|---|
| License Number | 01020715B |
| License Type | CSR-Physician |
| License Status | Expired |
| City | Auburn |
| State | IN |