The holder whose full name is McBride, Lawrence Charles,come from Bloomington IN,hold the CSR-Physician license(NO.01044093B) which status is Active.
| Name | McBride, Lawrence Charles |
|---|---|
| License Number | 01044093B |
| License Type | CSR-Physician |
| License Status | Active |
| City | Bloomington |
| State | IN |