The holder whose full name is SHAVER, THOMAS X,come from KNIGHTSTOWN IN,hold the CSR-Dentist license(NO.12005750B) which status is Expired.
| Name | SHAVER, THOMAS X |
|---|---|
| License Number | 12005750B |
| License Type | CSR-Dentist |
| License Status | Expired |
| City | KNIGHTSTOWN |
| State | IN |