The holder whose full name is Forestieri, Raphael Frederick,come from Fort Wayne IN,hold the Licensed Acupuncturist license(NO.84000156A) which status is Expired.
| Name | Forestieri, Raphael Frederick |
|---|---|
| License Number | 84000156A |
| License Type | Licensed Acupuncturist |
| License Status | Expired |
| City | Fort Wayne |
| State | IN |