The holder whose full name is Economan, Dale W.,come from GAS CITY IN,hold the CSR-Osteopathic Physician license(NO.02000601C) which status is Expired.
| Name | Economan, Dale W. |
|---|---|
| License Number | 02000601C |
| License Type | CSR-Osteopathic Physician |
| License Status | Expired |
| City | GAS CITY |
| State | IN |