The holder whose full name is CLARKE, CALVIN B,come from FORT WAYNE IN,hold the CSR-Dentist license(NO.12005003B) which status is Expired.
| Name | CLARKE, CALVIN B |
|---|---|
| License Number | 12005003B |
| License Type | CSR-Dentist |
| License Status | Expired |
| City | FORT WAYNE |
| State | IN |