The holder whose full name is Ali, Abdulfatah Mohamed,come from Indianapolis IN,hold the CSR-Physician license(NO.01059602B) which status is Expired.
| Name | Ali, Abdulfatah Mohamed |
|---|---|
| License Number | 01059602B |
| License Type | CSR-Physician |
| License Status | Expired |
| City | Indianapolis |
| State | IN |