The holder whose full name is Acosta, Araceli T.,come from GARY IN,hold the CSR-Physician license(NO.01025742B) which status is Expired.
| Name | Acosta, Araceli T. |
|---|---|
| License Number | 01025742B |
| License Type | CSR-Physician |
| License Status | Expired |
| City | GARY |
| State | IN |