The holder whose full name is Broughton, Charles F.,come from BATESVILLE IN,hold the CSR-Dentist license(NO.12007433B) which status is Expired.
| Name | Broughton, Charles F. |
|---|---|
| License Number | 12007433B |
| License Type | CSR-Dentist |
| License Status | Expired |
| City | BATESVILLE |
| State | IN |