The holder whose full name is Metzger, Philip Paul,come from FORT WAYNE IN,hold the CSR-Physician license(NO.01030475B) which status is Expired.
| Name | Metzger, Philip Paul |
|---|---|
| License Number | 01030475B |
| License Type | CSR-Physician |
| License Status | Expired |
| City | FORT WAYNE |
| State | IN |