The holder whose full name is Haynes, Arthur Alvin,come from FORT WAYNE IN,hold the CSR-Physician license(NO.01019599B) which status is Expired.
| Name | Haynes, Arthur Alvin |
|---|---|
| License Number | 01019599B |
| License Type | CSR-Physician |
| License Status | Expired |
| City | FORT WAYNE |
| State | IN |