The holder whose full name is Mater, Bruce A.,come from JEFFERSONVILLE IN,hold the CSR-Dentist license(NO.12009191B) which status is Expired.
| Name | Mater, Bruce A. |
|---|---|
| License Number | 12009191B |
| License Type | CSR-Dentist |
| License Status | Expired |
| City | JEFFERSONVILLE |
| State | IN |