The holder whose full name is NEGRETE AGUIRRE, ABELARDO,come from LOGANSPORT IN,hold the CSR-Physician license(NO.01041160B) which status is Expired.
Name | NEGRETE AGUIRRE, ABELARDO |
---|---|
License Number | 01041160B |
License Type | CSR-Physician |
License Status | Expired |
City | LOGANSPORT |
State | IN |