The holder whose full name is Miller, Charles H.,come from PORTLAND IN,hold the CSR-Dentist license(NO.12007367B) which status is Expired Non-Renewable.
| Name | Miller, Charles H. |
|---|---|
| License Number | 12007367B |
| License Type | CSR-Dentist |
| License Status | Expired Non-Renewable |
| City | PORTLAND |
| State | IN |