The holder whose full name is Klingel, Leo Frederick,come from SOUTH BEND IN,hold the CSR-Osteopathic Physician license(NO.02000072B) which status is Voluntary Surrender.
Name | Klingel, Leo Frederick |
---|---|
License Number | 02000072B |
License Type | CSR-Osteopathic Physician |
License Status | Voluntary Surrender |
City | SOUTH BEND |
State | IN |