The holder whose full name is CHARKEWYCZ, BOHDAN LEO,come from EAST CHICAGO IN,hold the CSR-Physician license(NO.01042619B) which status is Expired.
Name | CHARKEWYCZ, BOHDAN LEO |
---|---|
License Number | 01042619B |
License Type | CSR-Physician |
License Status | Expired |
City | EAST CHICAGO |
State | IN |