The holder whose full name is PETTIS, ARTHUR GLASCO,come from CROWN POINT IN,hold the CSR-Physician license(NO.01020001B) which status is Expired.
| Name | PETTIS, ARTHUR GLASCO |
|---|---|
| License Number | 01020001B |
| License Type | CSR-Physician |
| License Status | Expired |
| City | CROWN POINT |
| State | IN |