The holder whose full name is ESCOBAR, EDWARD JOSE,come from WARSAW IN,hold the CSR-Osteopathic Physician license(NO.02001587B) which status is Expired.
Name | ESCOBAR, EDWARD JOSE |
---|---|
License Number | 02001587B |
License Type | CSR-Osteopathic Physician |
License Status | Expired |
City | WARSAW |
State | IN |