The holder whose full name is Harris, George Theodore,come from Richmond IN,hold the CSR-Osteopathic Physician license(NO.02004161B) which status is Expired.
| Name | Harris, George Theodore |
|---|---|
| License Number | 02004161B |
| License Type | CSR-Osteopathic Physician |
| License Status | Expired |
| City | Richmond |
| State | IN |