The holder whose full name is Kaminski, Thomas Simon,come from Winamac IN,hold the CSR-Dentist license(NO.12005555B) which status is Expired.
| Name | Kaminski, Thomas Simon |
|---|---|
| License Number | 12005555B |
| License Type | CSR-Dentist |
| License Status | Expired |
| City | Winamac |
| State | IN |