The holder whose full name is KURUVILLA, ABRAHAM,come from BLUFFTON IN,hold the CSR-Physician license(NO.01036332B) which status is Expired.
| Name | KURUVILLA, ABRAHAM |
|---|---|
| License Number | 01036332B |
| License Type | CSR-Physician |
| License Status | Expired |
| City | BLUFFTON |
| State | IN |