The holder whose full name is Sidell, James Paul,come from Fort Wayne IN,hold the CSR-Physician license(NO.01018404B) which status is Expired.
| Name | Sidell, James Paul |
|---|---|
| License Number | 01018404B |
| License Type | CSR-Physician |
| License Status | Expired |
| City | Fort Wayne |
| State | IN |