The holder whose full name is GOLDFADEN, ISABEL,come from La Porte IN,hold the CSR-Physician license(NO.01040568B) which status is Expired.
| Name | GOLDFADEN, ISABEL |
|---|---|
| License Number | 01040568B |
| License Type | CSR-Physician |
| License Status | Expired |
| City | La Porte |
| State | IN |