The holder whose full name is LaSalle, Sarah Anne,come from Fort Wayne IN,hold the CSR-Osteopathic Physician license(NO.02004030B) which status is Active.
Name | LaSalle, Sarah Anne |
---|---|
License Number | 02004030B |
License Type | CSR-Osteopathic Physician |
License Status | Active |
City | Fort Wayne |
State | IN |