The holder whose full name is Losasso, Alvin Michael,come from INDIANAPOLIS IN,hold the CSR-Physician license(NO.01020297B) which status is Active.
| Name | Losasso, Alvin Michael |
|---|---|
| License Number | 01020297B |
| License Type | CSR-Physician |
| License Status | Active |
| City | INDIANAPOLIS |
| State | IN |