The holder whose full name is Papadatos, Anthony D.,come from Michigan City IN,hold the CSR-Physician license(NO.01059771B) which status is Active.
| Name | Papadatos, Anthony D. |
|---|---|
| License Number | 01059771B |
| License Type | CSR-Physician |
| License Status | Active |
| City | Michigan City |
| State | IN |