The holder whose full name is Kelley, David Wayne,come from Lafayette IN,hold the CSR-Osteopathic Physician license(NO.02003370B) which status is Active.
| Name | Kelley, David Wayne |
|---|---|
| License Number | 02003370B |
| License Type | CSR-Osteopathic Physician |
| License Status | Active |
| City | Lafayette |
| State | IN |