The holder whose full name is Lamot-Wasik, Lidia I.,come from SOUTH BEND IN,hold the CSR-Physician license(NO.01043484B) which status is Expired.
| Name | Lamot-Wasik, Lidia I. |
|---|---|
| License Number | 01043484B |
| License Type | CSR-Physician |
| License Status | Expired |
| City | SOUTH BEND |
| State | IN |