The holder whose full name is KATZEN, KENNETH LEE,come from OUT OF STATE IN,hold the CSR-Osteopathic Physician license(NO.02000799B) which status is Expired.
| Name | KATZEN, KENNETH LEE |
|---|---|
| License Number | 02000799B |
| License Type | CSR-Osteopathic Physician |
| License Status | Expired |
| City | OUT OF STATE |
| State | IN |