The holder whose full name is Russell, Patrick W.,come from Elkhart IN,hold the Osteopathic Physician license(NO.02001219A) which status is Active.
| Name | Russell, Patrick W. |
|---|---|
| License Number | 02001219A |
| License Type | Osteopathic Physician |
| License Status | Active |
| City | Elkhart |
| State | IN |