The holder whose full name is Tacket, Douglas Gregory,come from Niles MI,hold the CSR-Osteopathic Physician license(NO.02001246B) which status is Expired.
| Name | Tacket, Douglas Gregory |
|---|---|
| License Number | 02001246B |
| License Type | CSR-Osteopathic Physician |
| License Status | Expired |
| City | Niles |
| State | MI |