The holder whose full name is Bovienzo, James Douglas,come from Bloomington IN,hold the CSR-Osteopathic Physician license(NO.02003749B) which status is Active.
| Name | Bovienzo, James Douglas |
|---|---|
| License Number | 02003749B |
| License Type | CSR-Osteopathic Physician |
| License Status | Active |
| City | Bloomington |
| State | IN |