The holder whose full name is ALASAD, BASHAR SAMIR,come from SCOTTSBURG IN,hold the CSR-Physician license(NO.01041952B) which status is Expired.
| Name | ALASAD, BASHAR SAMIR |
|---|---|
| License Number | 01041952B |
| License Type | CSR-Physician |
| License Status | Expired |
| City | SCOTTSBURG |
| State | IN |