The holder whose full name is Durham, Charles J.,come from Seymour IN,hold the CSR-Dentist license(NO.12006254B) which status is Expired.
| Name | Durham, Charles J. |
|---|---|
| License Number | 12006254B |
| License Type | CSR-Dentist |
| License Status | Expired |
| City | Seymour |
| State | IN |