The holder whose full name is House, Angela Lori,come from Beech Grove IN,hold the CSR-Osteopathic Physician license(NO.02002580B) which status is Expired.
| Name | House, Angela Lori |
|---|---|
| License Number | 02002580B |
| License Type | CSR-Osteopathic Physician |
| License Status | Expired |
| City | Beech Grove |
| State | IN |