The holder whose full name is Khan, Abdul Talib,come from Wabash IN,hold the CSR-Physician license(NO.01046815B) which status is Expired.
| Name | Khan, Abdul Talib |
|---|---|
| License Number | 01046815B |
| License Type | CSR-Physician |
| License Status | Expired |
| City | Wabash |
| State | IN |