The holder whose full name is LEWIS, BARRY KENT,come from DYER IN,hold the CSR-Osteopathic Physician license(NO.02000835B) which status is Expired.
Name | LEWIS, BARRY KENT |
---|---|
License Number | 02000835B |
License Type | CSR-Osteopathic Physician |
License Status | Expired |
City | DYER |
State | IN |