The holder whose full name is Midla, George Edward,come from South Bend IN,hold the CSR-Osteopathic Physician license(NO.02000178C) which status is Expired.
| Name | Midla, George Edward |
|---|---|
| License Number | 02000178C |
| License Type | CSR-Osteopathic Physician |
| License Status | Expired |
| City | South Bend |
| State | IN |