The holder whose full name is SALES, AVELINO T,come from CARMEL IN,hold the CSR-Physician license(NO.01024154B) which status is Expired.
| Name | SALES, AVELINO T |
|---|---|
| License Number | 01024154B |
| License Type | CSR-Physician |
| License Status | Expired |
| City | CARMEL |
| State | IN |