The holder whose full name is Wallisch, Benjamin John,come from Houston TX,hold the Osteopathic Physician license(NO.02002883A) which status is Expired Non-Renewable.
| Name | Wallisch, Benjamin John |
|---|---|
| License Number | 02002883A |
| License Type | Osteopathic Physician |
| License Status | Expired Non-Renewable |
| City | Houston |
| State | TX |