The holder whose full name is OSSORIO, MIGUEL ANTONIO,come from JOHNSON CITY TN,hold the Physician license(NO.01040012A) which status is Active.
| Name | OSSORIO, MIGUEL ANTONIO |
|---|---|
| License Number | 01040012A |
| License Type | Physician |
| License Status | Active |
| City | JOHNSON CITY |
| State | TN |