The holder whose full name is DE JONG, VAUN WILLIAM,come from SOUTH BEND IN,hold the CSR-Osteopathic Physician license(NO.02001048C) which status is Expired.
| Name | DE JONG, VAUN WILLIAM |
|---|---|
| License Number | 02001048C |
| License Type | CSR-Osteopathic Physician |
| License Status | Expired |
| City | SOUTH BEND |
| State | IN |