The holder whose full name is Mijares, Josel Villanueva,come from Boonville IN,hold the CSR-Physician license(NO.01047282B) which status is Active.
| Name | Mijares, Josel Villanueva |
|---|---|
| License Number | 01047282B |
| License Type | CSR-Physician |
| License Status | Active |
| City | Boonville |
| State | IN |