The holder whose full name is WASE, ABDUL,come from MERRILLVILLE IN,hold the CSR-Physician license(NO.01034790B) which status is Expired.
| Name | WASE, ABDUL |
|---|---|
| License Number | 01034790B |
| License Type | CSR-Physician |
| License Status | Expired |
| City | MERRILLVILLE |
| State | IN |