The holder whose full name is Puram, Ajith Kumar,come from Indianapolis IN,hold the CSR-Physician license(NO.01070965C) which status is Expired.
| Name | Puram, Ajith Kumar |
|---|---|
| License Number | 01070965C |
| License Type | CSR-Physician |
| License Status | Expired |
| City | Indianapolis |
| State | IN |