The holder whose full name is PAYNE, ARTHUR C,come from EAST CHICAGO IN,hold the CSR-Physician license(NO.01010918B) which status is Expired.
| Name | PAYNE, ARTHUR C |
|---|---|
| License Number | 01010918B |
| License Type | CSR-Physician |
| License Status | Expired |
| City | EAST CHICAGO |
| State | IN |