The holder whose full name is Fish, Larry W,come from SILVER LAKE IN,hold the CSR-Osteopathic Physician license(NO.02000830C) which status is Expired.
Name | Fish, Larry W |
---|---|
License Number | 02000830C |
License Type | CSR-Osteopathic Physician |
License Status | Expired |
City | SILVER LAKE |
State | IN |