The holder whose full name is Beitzel, James Edgar,come from Columbia City IN,hold the CSR-Physician license(NO.01061931B) which status is Active.
| Name | Beitzel, James Edgar |
|---|---|
| License Number | 01061931B |
| License Type | CSR-Physician |
| License Status | Active |
| City | Columbia City |
| State | IN |