The holder whose full name is Billings, Charles Stephen,come from Bloomington IN,hold the CSR-Dentist license(NO.12007089B) which status is Expired.
| Name | Billings, Charles Stephen |
|---|---|
| License Number | 12007089B |
| License Type | CSR-Dentist |
| License Status | Expired |
| City | Bloomington |
| State | IN |