The holder whose full name is O'Donnell, Michael R.,come from Fort Wayne IN,hold the Chiro Graduate Permit license(NO.99035043A) which status is Superceded.
| Name | O'Donnell, Michael R. |
|---|---|
| License Number | 99035043A |
| License Type | Chiro Graduate Permit |
| License Status | Superceded |
| City | Fort Wayne |
| State | IN |