The holder whose full name is Allen, Barry Eugene,come from Beech Grove IN,hold the CSR-Physician license(NO.01053363B) which status is Expired.
| Name | Allen, Barry Eugene |
|---|---|
| License Number | 01053363B |
| License Type | CSR-Physician |
| License Status | Expired |
| City | Beech Grove |
| State | IN |