The holder whose full name is Ellis, James Harlan,come from Bedford IN,hold the CSR-Osteopathic Physician license(NO.02003468B) which status is Active.
| Name | Ellis, James Harlan |
|---|---|
| License Number | 02003468B |
| License Type | CSR-Osteopathic Physician |
| License Status | Active |
| City | Bedford |
| State | IN |