The holder whose full name is King, Bryan Jacob,come from La Porte IN,hold the CSR-Osteopathic Physician license(NO.02004018B) which status is Active.
| Name | King, Bryan Jacob |
|---|---|
| License Number | 02004018B |
| License Type | CSR-Osteopathic Physician |
| License Status | Active |
| City | La Porte |
| State | IN |