The holder whose full name is KAUFMAN, AVA ANITA,come from FORT WAYNE IN,hold the CSR-Physician license(NO.01035438B) which status is Expired.
| Name | KAUFMAN, AVA ANITA |
|---|---|
| License Number | 01035438B |
| License Type | CSR-Physician |
| License Status | Expired |
| City | FORT WAYNE |
| State | IN |