The holder whose full name is LASSITER, LEWANZER,come from DYER IN,hold the CSR-Physician license(NO.01049918B) which status is Expired.
| Name | LASSITER, LEWANZER |
|---|---|
| License Number | 01049918B |
| License Type | CSR-Physician |
| License Status | Expired |
| City | DYER |
| State | IN |