The holder whose full name is Shoemaker, Thomas Richard,come from Fort Wayne IN,hold the CSR-Dentist license(NO.12008284B) which status is Expired.
| Name | Shoemaker, Thomas Richard |
|---|---|
| License Number | 12008284B |
| License Type | CSR-Dentist |
| License Status | Expired |
| City | Fort Wayne |
| State | IN |