The holder whose full name is Weis, Andrew John,come from LAFAYETTE IN,hold the CSR-Physician license(NO.01041729B) which status is Expired.
| Name | Weis, Andrew John |
|---|---|
| License Number | 01041729B |
| License Type | CSR-Physician |
| License Status | Expired |
| City | LAFAYETTE |
| State | IN |