The holder whose full name is Badman, Brian Lowell,come from Terre Haute IN,hold the CSR-Physician license(NO.01061086B) which status is Active.
| Name | Badman, Brian Lowell |
|---|---|
| License Number | 01061086B |
| License Type | CSR-Physician |
| License Status | Active |
| City | Terre Haute |
| State | IN |