The holder whose full name is Detar, Dewey Todd,come from Rensselaer IN,hold the CSR-Osteopathic Physician license(NO.02004010B) which status is Active.
| Name | Detar, Dewey Todd |
|---|---|
| License Number | 02004010B |
| License Type | CSR-Osteopathic Physician |
| License Status | Active |
| City | Rensselaer |
| State | IN |