The holder whose full name is Primm, Kenneth Darrell,come from Auburn IN,hold the CSR-Physician license(NO.01060295B) which status is Expired.
| Name | Primm, Kenneth Darrell |
|---|---|
| License Number | 01060295B |
| License Type | CSR-Physician |
| License Status | Expired |
| City | Auburn |
| State | IN |