The holder whose full name is Wiziecki, Lara Marie,come from East Chicago IN,hold the CSR-Osteopathic Physician license(NO.02001971B) which status is Active.
| Name | Wiziecki, Lara Marie |
|---|---|
| License Number | 02001971B |
| License Type | CSR-Osteopathic Physician |
| License Status | Active |
| City | East Chicago |
| State | IN |