The holder whose full name is Suliman, Faroug Yassin,come from Fort Wayne IN,hold the CSR-Physician license(NO.01065520B) which status is Expired.
| Name | Suliman, Faroug Yassin |
|---|---|
| License Number | 01065520B |
| License Type | CSR-Physician |
| License Status | Expired |
| City | Fort Wayne |
| State | IN |