The holder whose full name is Habenicht, Ann Laura,come from DYER IN,hold the CSR-Osteopathic Physician license(NO.02002003B) which status is Expired.
| Name | Habenicht, Ann Laura |
|---|---|
| License Number | 02002003B |
| License Type | CSR-Osteopathic Physician |
| License Status | Expired |
| City | DYER |
| State | IN |