The holder whose full name is Venkat, Balaji,come from East Chicago IN,hold the CSR-Osteopathic Physician license(NO.02003513B) which status is Expired.
| Name | Venkat, Balaji |
|---|---|
| License Number | 02003513B |
| License Type | CSR-Osteopathic Physician |
| License Status | Expired |
| City | East Chicago |
| State | IN |