The holder whose full name is WHITE, IRA M,come from BLOOMINGTON IN,hold the CSR-Osteopathic Physician license(NO.02000789B) which status is Expired.
| Name | WHITE, IRA M |
|---|---|
| License Number | 02000789B |
| License Type | CSR-Osteopathic Physician |
| License Status | Expired |
| City | BLOOMINGTON |
| State | IN |