The holder whose full name is PEREZ, KENNETH A,come from HIGHLAND IN,hold the CSR-Osteopathic Physician license(NO.02001574B) which status is Expired.
| Name | PEREZ, KENNETH A |
|---|---|
| License Number | 02001574B |
| License Type | CSR-Osteopathic Physician |
| License Status | Expired |
| City | HIGHLAND |
| State | IN |