The holder whose full name is Fogt, Nathan Allen,come from Plymouth IN,hold the Osteopathic Physician license(NO.02002177A) which status is Expired Non-Renewable.
| Name | Fogt, Nathan Allen |
|---|---|
| License Number | 02002177A |
| License Type | Osteopathic Physician |
| License Status | Expired Non-Renewable |
| City | Plymouth |
| State | IN |