The holder whose full name is Lambertson, Larry Hall,come from FORT WAYNE IN,hold the CSR-Physician license(NO.01040684B) which status is Active.
| Name | Lambertson, Larry Hall |
|---|---|
| License Number | 01040684B |
| License Type | CSR-Physician |
| License Status | Active |
| City | FORT WAYNE |
| State | IN |