The holder whose full name is Bartholomew, Charles William,come from KOKOMO IN,hold the CSR-Dentist license(NO.12009183B) which status is Active.
| Name | Bartholomew, Charles William |
|---|---|
| License Number | 12009183B |
| License Type | CSR-Dentist |
| License Status | Active |
| City | KOKOMO |
| State | IN |