The holder whose full name is Flannigan, Harley F.,come from LAGRANGE IN,hold the CSR-Physician license(NO.01012398B) which status is Expired.
| Name | Flannigan, Harley F. |
|---|---|
| License Number | 01012398B |
| License Type | CSR-Physician |
| License Status | Expired |
| City | LAGRANGE |
| State | IN |