The holder whose full name is Kupon, Michael Richard,come from Lafayette IN,hold the CSR-Osteopathic Physician license(NO.02003426B) which status is Active.
| Name | Kupon, Michael Richard |
|---|---|
| License Number | 02003426B |
| License Type | CSR-Osteopathic Physician |
| License Status | Active |
| City | Lafayette |
| State | IN |