The holder whose full name is Shihadeh, Amjad,come from Valparaiso IN,hold the CSR-Physician license(NO.01067914B) which status is Active.
| Name | Shihadeh, Amjad |
|---|---|
| License Number | 01067914B |
| License Type | CSR-Physician |
| License Status | Active |
| City | Valparaiso |
| State | IN |