The holder whose full name is Johnson, Douglas Roy,come from INDIANAPOLIS IN,hold the CSR-Osteopathic Physician license(NO.02001062B) which status is Expired.
| Name | Johnson, Douglas Roy |
|---|---|
| License Number | 02001062B |
| License Type | CSR-Osteopathic Physician |
| License Status | Expired |
| City | INDIANAPOLIS |
| State | IN |