The holder whose full name is Lamont, Allison Marie,come from Mishawaka IN,hold the CSR-Physician license(NO.01052473B) which status is Active.
| Name | Lamont, Allison Marie |
|---|---|
| License Number | 01052473B |
| License Type | CSR-Physician |
| License Status | Active |
| City | Mishawaka |
| State | IN |