The holder whose full name is Hrisomalos, Frank N.,come from Bloomington IN,hold the CSR-Physician license(NO.01017732B) which status is Active.
| Name | Hrisomalos, Frank N. |
|---|---|
| License Number | 01017732B |
| License Type | CSR-Physician |
| License Status | Active |
| City | Bloomington |
| State | IN |