The holder whose full name is King, Dennis E.,come from Fort Wayne IN,hold the CSR-Osteopathic Physician license(NO.02000656C) which status is Expired.
Name | King, Dennis E. |
---|---|
License Number | 02000656C |
License Type | CSR-Osteopathic Physician |
License Status | Expired |
City | Fort Wayne |
State | IN |