The holder whose full name is Albazzaz, Ala Jaber,come from GARY IN,hold the CSR-Physician license(NO.01043313B) which status is Suspended.
| Name | Albazzaz, Ala Jaber |
|---|---|
| License Number | 01043313B |
| License Type | CSR-Physician |
| License Status | Suspended |
| City | GARY |
| State | IN |