The holder whose full name is Goldman, Bradford Leroy,come from Bloomington IN,hold the CSR-Dentist license(NO.12008574B) which status is Expired.
| Name | Goldman, Bradford Leroy |
|---|---|
| License Number | 12008574B |
| License Type | CSR-Dentist |
| License Status | Expired |
| City | Bloomington |
| State | IN |