The holder whose full name is SUMMER, ANDREA PICKENS,come from BLUFFTON IN,hold the CSR-Physician license(NO.01044420B) which status is Expired.
| Name | SUMMER, ANDREA PICKENS |
|---|---|
| License Number | 01044420B |
| License Type | CSR-Physician |
| License Status | Expired |
| City | BLUFFTON |
| State | IN |