The holder whose full name is Boss, Douglas James,come from FORT WAYNE IN,hold the Physician license(NO.01041457A) which status is Expired Non-Renewable.
| Name | Boss, Douglas James |
|---|---|
| License Number | 01041457A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | FORT WAYNE |
| State | IN |