The holder whose full name is JEANTY, MAXENCE,come from Logansport IN,hold the CSR-Physician license(NO.01035516B) which status is Expired.
| Name | JEANTY, MAXENCE |
|---|---|
| License Number | 01035516B |
| License Type | CSR-Physician |
| License Status | Expired |
| City | Logansport |
| State | IN |