The holder whose full name is CARNES, BENIS GORDON,come from SEYMOUR IN,hold the CSR-Physician license(NO.01035579B) which status is Expired.
| Name | CARNES, BENIS GORDON |
|---|---|
| License Number | 01035579B |
| License Type | CSR-Physician |
| License Status | Expired |
| City | SEYMOUR |
| State | IN |