The holder whose full name is Carpenter, Michelle,come from Fort Wayne IN,hold the CSR-Osteopathic Physician license(NO.02002959B) which status is Expired.
| Name | Carpenter, Michelle |
|---|---|
| License Number | 02002959B |
| License Type | CSR-Osteopathic Physician |
| License Status | Expired |
| City | Fort Wayne |
| State | IN |