The holder whose full name is Hettinger, Amanda B.,come from Jeffersonville IN,hold the CSR-Physician license(NO.01060661B) which status is Expired.
| Name | Hettinger, Amanda B. |
|---|---|
| License Number | 01060661B |
| License Type | CSR-Physician |
| License Status | Expired |
| City | Jeffersonville |
| State | IN |