The holder whose full name is Baumgartner, Richard Dean,come from Decatur IN,hold the CSR-Physician Assistant license(NO.10000092B) which status is Expired.
Name | Baumgartner, Richard Dean |
---|---|
License Number | 10000092B |
License Type | CSR-Physician Assistant |
License Status | Expired |
City | Decatur |
State | IN |