The holder whose full name is Schwalbe, Justin Richard,come from South Bend IN,hold the Physician license(NO.01074578A) which status is Probation.
| Name | Schwalbe, Justin Richard |
|---|---|
| License Number | 01074578A |
| License Type | Physician |
| License Status | Probation |
| City | South Bend |
| State | IN |