The holder whose full name is Pedavoli, Thomas Michael,come from GRANGER IN,hold the CSR-Dentist license(NO.12008862D) which status is Expired.
| Name | Pedavoli, Thomas Michael |
|---|---|
| License Number | 12008862D |
| License Type | CSR-Dentist |
| License Status | Expired |
| City | GRANGER |
| State | IN |