The holder whose full name is SHORT, DAVID GEORGE,come from LOGANSPORT IN,hold the CSR-Osteopathic Physician license(NO.02001212B) which status is Active.
| Name | SHORT, DAVID GEORGE |
|---|---|
| License Number | 02001212B |
| License Type | CSR-Osteopathic Physician |
| License Status | Active |
| City | LOGANSPORT |
| State | IN |