The holder whose full name is Lim, Jose Dennis,come from South Bend IN,hold the CSR-Physician license(NO.01044250C) which status is Expired.
| Name | Lim, Jose Dennis |
|---|---|
| License Number | 01044250C |
| License Type | CSR-Physician |
| License Status | Expired |
| City | South Bend |
| State | IN |