The holder whose full name is PRICE, AMBROSE MADISON,come from ZIONSVILLE IN,hold the CSR-Physician license(NO.01017848B) which status is Expired.
| Name | PRICE, AMBROSE MADISON |
|---|---|
| License Number | 01017848B |
| License Type | CSR-Physician |
| License Status | Expired |
| City | ZIONSVILLE |
| State | IN |