The holder whose full name is PARKER, KENNETH R,come from Boonville IN,hold the CSR-Physician license(NO.01037962B) which status is Active.
| Name | PARKER, KENNETH R |
|---|---|
| License Number | 01037962B |
| License Type | CSR-Physician |
| License Status | Active |
| City | Boonville |
| State | IN |