The holder whose full name is EKONG, EDWIN E,come from MICHIGAN CITY IN,hold the CSR-Osteopathic Physician license(NO.02000741B) which status is Expired.
| Name | EKONG, EDWIN E |
|---|---|
| License Number | 02000741B |
| License Type | CSR-Osteopathic Physician |
| License Status | Expired |
| City | MICHIGAN CITY |
| State | IN |