The holder whose full name is Coughenour, John Robert,come from RUSHVILLE IN,hold the CSR-Physician license(NO.01017044C) which status is Expired.
| Name | Coughenour, John Robert |
|---|---|
| License Number | 01017044C |
| License Type | CSR-Physician |
| License Status | Expired |
| City | RUSHVILLE |
| State | IN |