The holder whose full name is GRANNAN, BERNARD N,come from WASHINGTON IN,hold the CSR-Dentist license(NO.12005019B) which status is Expired.
| Name | GRANNAN, BERNARD N |
|---|---|
| License Number | 12005019B |
| License Type | CSR-Dentist |
| License Status | Expired |
| City | WASHINGTON |
| State | IN |