The holder whose full name is Blass, Angelina J.,come from Terre Haute IN,hold the CSR-Dentist license(NO.12010948B) which status is Expired.
Name | Blass, Angelina J. |
---|---|
License Number | 12010948B |
License Type | CSR-Dentist |
License Status | Expired |
City | Terre Haute |
State | IN |