The holder whose full name is Igolnikov, Alexander Charles,come from La Porte IN,hold the CSR-Physician license(NO.01071639B) which status is Active.
| Name | Igolnikov, Alexander Charles |
|---|---|
| License Number | 01071639B |
| License Type | CSR-Physician |
| License Status | Active |
| City | La Porte |
| State | IN |