The holder whose full name is SAMUELS, JULENE B,come from JEFFERSONVILLE IN,hold the CSR-Physician license(NO.01042721B) which status is Expired.
| Name | SAMUELS, JULENE B |
|---|---|
| License Number | 01042721B |
| License Type | CSR-Physician |
| License Status | Expired |
| City | JEFFERSONVILLE |
| State | IN |