The holder whose full name is Johnson, Amy Lee,come from JEFFERSONVILLE IN,hold the CSR-Physician license(NO.01047637B) which status is Expired.
| Name | Johnson, Amy Lee |
|---|---|
| License Number | 01047637B |
| License Type | CSR-Physician |
| License Status | Expired |
| City | JEFFERSONVILLE |
| State | IN |