The holder whose full name is Middleton, Charles H.,come from Fort Wayne IN,hold the CSR-Dentist license(NO.12008119B) which status is Active.
| Name | Middleton, Charles H. |
|---|---|
| License Number | 12008119B |
| License Type | CSR-Dentist |
| License Status | Active |
| City | Fort Wayne |
| State | IN |