The holder whose full name is CARDWELL, ALFRED T,come from GARY IN,hold the CSR-Dentist license(NO.12004998B) which status is Expired.
| Name | CARDWELL, ALFRED T |
|---|---|
| License Number | 12004998B |
| License Type | CSR-Dentist |
| License Status | Expired |
| City | GARY |
| State | IN |