The holder whose full name is MITTENTHAL, MARILYN,come from MERRILLVILLE IN,hold the CSR-Osteopathic Physician license(NO.02000914B) which status is Expired.
| Name | MITTENTHAL, MARILYN |
|---|---|
| License Number | 02000914B |
| License Type | CSR-Osteopathic Physician |
| License Status | Expired |
| City | MERRILLVILLE |
| State | IN |