The holder whose full name is Johnson, Jay Thomas,come from Jeffersonville IN,hold the CSR-Osteopathic Physician license(NO.02003640B) which status is Expired.
| Name | Johnson, Jay Thomas |
|---|---|
| License Number | 02003640B |
| License Type | CSR-Osteopathic Physician |
| License Status | Expired |
| City | Jeffersonville |
| State | IN |