The holder whose full name is VISCUSI, CHAD DEAN,come from Indianapolis IN,hold the Event Physician license(NO.PH40200003) which status is Expired Non-Renewable.
| Name | VISCUSI, CHAD DEAN |
|---|---|
| License Number | PH40200003 |
| License Type | Event Physician |
| License Status | Expired Non-Renewable |
| City | Indianapolis |
| State | IN |