The holder whose full name is BRIDENHAGER, CHARLES A,come from LIBERTY IN,hold the CSR-Dentist license(NO.12005385B) which status is Expired.
| Name | BRIDENHAGER, CHARLES A |
|---|---|
| License Number | 12005385B |
| License Type | CSR-Dentist |
| License Status | Expired |
| City | LIBERTY |
| State | IN |