The holder whose full name is Yaacoub, Adel Shafik,come from Lafayette IN,hold the CSR-Physician license(NO.01039558C) which status is Expired.
| Name | Yaacoub, Adel Shafik |
|---|---|
| License Number | 01039558C |
| License Type | CSR-Physician |
| License Status | Expired |
| City | Lafayette |
| State | IN |