The holder whose full name is Chen, George,come from Lafayette IN,hold the CSR-Osteopathic Physician license(NO.02004118B) which status is Expired.
| Name | Chen, George |
|---|---|
| License Number | 02004118B |
| License Type | CSR-Osteopathic Physician |
| License Status | Expired |
| City | Lafayette |
| State | IN |