The holder whose full name is Shulman, Alissa Marie,come from South Bend IN,hold the CSR-Physician license(NO.01052840B) which status is Expired.
| Name | Shulman, Alissa Marie |
|---|---|
| License Number | 01052840B |
| License Type | CSR-Physician |
| License Status | Expired |
| City | South Bend |
| State | IN |