The holder whose full name is LEWIS, CARLTON JOHN,come from SOUTH BEND IN,hold the CSR-Osteopathic Physician license(NO.02001657B) which status is Expired.
| Name | LEWIS, CARLTON JOHN |
|---|---|
| License Number | 02001657B |
| License Type | CSR-Osteopathic Physician |
| License Status | Expired |
| City | SOUTH BEND |
| State | IN |