The holder whose full name is Greenlee, James Robert,come from Lagrange IN,hold the CSR-Physician license(NO.01021162B) which status is Expired.
| Name | Greenlee, James Robert |
|---|---|
| License Number | 01021162B |
| License Type | CSR-Physician |
| License Status | Expired |
| City | Lagrange |
| State | IN |