The holder whose full name is KING, ALICE KAY,come from INDIANAPOLIS IN,hold the CSR-Physician license(NO.01036365B) which status is Expired.
| Name | KING, ALICE KAY |
|---|---|
| License Number | 01036365B |
| License Type | CSR-Physician |
| License Status | Expired |
| City | INDIANAPOLIS |
| State | IN |