The holder whose full name is MAGNESON, FAYE LYNN,come from Granger IN,hold the CSR-Physician license(NO.01036619B) which status is Expired.
| Name | MAGNESON, FAYE LYNN |
|---|---|
| License Number | 01036619B |
| License Type | CSR-Physician |
| License Status | Expired |
| City | Granger |
| State | IN |