The holder whose full name is POULOS, LOUIS G,come from HAMMOND IN,hold the CSR-Osteopathic Physician license(NO.02001604B) which status is Expired.
Name | POULOS, LOUIS G |
---|---|
License Number | 02001604B |
License Type | CSR-Osteopathic Physician |
License Status | Expired |
City | HAMMOND |
State | IN |