The holder whose full name is Untisz, John Richard,come from Niceville FL,hold the Osteopathic Physician license(NO.02003929A) which status is Active.
| Name | Untisz, John Richard |
|---|---|
| License Number | 02003929A |
| License Type | Osteopathic Physician |
| License Status | Active |
| City | Niceville |
| State | FL |