The holder whose full name is Novak, Timothy Stephen,come from CHESTERTON IN,hold the CSR-Dentist license(NO.12009139B) which status is Expired.
| Name | Novak, Timothy Stephen |
|---|---|
| License Number | 12009139B |
| License Type | CSR-Dentist |
| License Status | Expired |
| City | CHESTERTON |
| State | IN |