The holder whose full name is Lipsey, Alfred Joseph,come from HAMMOND IN,hold the CSR-Physician license(NO.01016290B) which status is Expired.
| Name | Lipsey, Alfred Joseph |
|---|---|
| License Number | 01016290B |
| License Type | CSR-Physician |
| License Status | Expired |
| City | HAMMOND |
| State | IN |