The holder whose full name is Soto, Alfred,come from Shelbyville IN,hold the CSR-Physician license(NO.01046796B) which status is Expired.
| Name | Soto, Alfred |
|---|---|
| License Number | 01046796B |
| License Type | CSR-Physician |
| License Status | Expired |
| City | Shelbyville |
| State | IN |