The holder whose full name is LANDIS, WALTER WESLEY,come from SOUTH BEND IN,hold the Osteopathic Physician license(NO.02000177A) which status is Expired Non-Renewable.
Name | LANDIS, WALTER WESLEY |
---|---|
License Number | 02000177A |
License Type | Osteopathic Physician |
License Status | Expired Non-Renewable |
City | SOUTH BEND |
State | IN |