The holder whose full name is Smith, Alleyne Patricia,come from COLUMBUS IN,hold the CSR-Physician license(NO.01042049B) which status is Expired.
| Name | Smith, Alleyne Patricia |
|---|---|
| License Number | 01042049B |
| License Type | CSR-Physician |
| License Status | Expired |
| City | COLUMBUS |
| State | IN |