The holder whose full name is NEWBAUER, BERNARD ALLEN,come from MARION IN,hold the CSR-Dentist license(NO.12005931B) which status is Expired.
Name | NEWBAUER, BERNARD ALLEN |
---|---|
License Number | 12005931B |
License Type | CSR-Dentist |
License Status | Expired |
City | MARION |
State | IN |