The holder whose full name is MARQUINEZ SZKOPIEC, A,come from EAST CHICAGO IN,hold the CSR-Physician license(NO.01017901B) which status is Expired.
| Name | MARQUINEZ SZKOPIEC, A |
|---|---|
| License Number | 01017901B |
| License Type | CSR-Physician |
| License Status | Expired |
| City | EAST CHICAGO |
| State | IN |