The holder whose full name is Johnson, Robert Ryan,come from Fort Wayne IN,hold the CSR-Osteopathic Physician license(NO.02003101B) which status is Expired.
| Name | Johnson, Robert Ryan |
|---|---|
| License Number | 02003101B |
| License Type | CSR-Osteopathic Physician |
| License Status | Expired |
| City | Fort Wayne |
| State | IN |