The holder whose full name is Abdel-Latief, Ahmed A.,come from South Bend IN,hold the CSR-Physician license(NO.01052385B) which status is Active.
| Name | Abdel-Latief, Ahmed A. |
|---|---|
| License Number | 01052385B |
| License Type | CSR-Physician |
| License Status | Active |
| City | South Bend |
| State | IN |