The holder whose full name is Ahmed, Abdullahi Isse,come from Fort Wayne IN,hold the CSR-Physician license(NO.01051282B) which status is Expired.
| Name | Ahmed, Abdullahi Isse |
|---|---|
| License Number | 01051282B |
| License Type | CSR-Physician |
| License Status | Expired |
| City | Fort Wayne |
| State | IN |