The holder whose full name is Southwick, David Andrew,come from Terre Haute IN,hold the CSR-Osteopathic Physician license(NO.02001402B) which status is Active.
| Name | Southwick, David Andrew |
|---|---|
| License Number | 02001402B |
| License Type | CSR-Osteopathic Physician |
| License Status | Active |
| City | Terre Haute |
| State | IN |