The holder whose full name is Miceli, Louis A.,come from Munster IN,hold the CSR-Osteopathic Physician license(NO.02000622B) which status is Active.
| Name | Miceli, Louis A. |
|---|---|
| License Number | 02000622B |
| License Type | CSR-Osteopathic Physician |
| License Status | Active |
| City | Munster |
| State | IN |