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