The holder whose full name is Nelson, Charles Leslie,come from AVON IN,hold the CSR-Dentist license(NO.12007369B) which status is Expired.
| Name | Nelson, Charles Leslie |
|---|---|
| License Number | 12007369B |
| License Type | CSR-Dentist |
| License Status | Expired |
| City | AVON |
| State | IN |