The holder whose full name is RUIZ, A M,come from INDIANAPOLIS IN,hold the CSR-Physician license(NO.01021952B) which status is Expired.
| Name | RUIZ, A M |
|---|---|
| License Number | 01021952B |
| License Type | CSR-Physician |
| License Status | Expired |
| City | INDIANAPOLIS |
| State | IN |