The holder whose full name is Thompson, Shannon Lorane,come from Kokomo IN,hold the CSR-Physician license(NO.01056261B) which status is Expired.
| Name | Thompson, Shannon Lorane |
|---|---|
| License Number | 01056261B |
| License Type | CSR-Physician |
| License Status | Expired |
| City | Kokomo |
| State | IN |