The holder whose full name is IRVIN, CHARLES NELSON,come from CAMBRIDGE CITY IN,hold the CSR-Dentist license(NO.12004644B) which status is Expired.
| Name | IRVIN, CHARLES NELSON |
|---|---|
| License Number | 12004644B |
| License Type | CSR-Dentist |
| License Status | Expired |
| City | CAMBRIDGE CITY |
| State | IN |