The holder whose full name is MARTIN JR, VERNON DAVID,come from ELKHART IN,hold the CSR-Dentist license(NO.12005419B) which status is Expired.
| Name | MARTIN JR, VERNON DAVID |
|---|---|
| License Number | 12005419B |
| License Type | CSR-Dentist |
| License Status | Expired |
| City | ELKHART |
| State | IN |