The holder whose full name is Koontz, James Arthur,come from Vincennes IN,hold the CSR-Physician license(NO.01022226B) which status is Active.
| Name | Koontz, James Arthur |
|---|---|
| License Number | 01022226B |
| License Type | CSR-Physician |
| License Status | Active |
| City | Vincennes |
| State | IN |