The holder whose full name is KORN, ALLAN MICHAEL,come from MUNSTER IN,hold the CSR-Physician license(NO.01024740B) which status is Expired.
| Name | KORN, ALLAN MICHAEL |
|---|---|
| License Number | 01024740B |
| License Type | CSR-Physician |
| License Status | Expired |
| City | MUNSTER |
| State | IN |