The holder whose full name is Kandra, Ajay,come from Scottsburg IN,hold the CSR-Physician license(NO.01070122D) which status is Active.
| Name | Kandra, Ajay |
|---|---|
| License Number | 01070122D |
| License Type | CSR-Physician |
| License Status | Active |
| City | Scottsburg |
| State | IN |