The holder whose full name is NIBLICK, CHARLES WILLIAM,come from HAMMOND IN,hold the CSR-Dentist license(NO.12004725B) which status is Expired.
| Name | NIBLICK, CHARLES WILLIAM |
|---|---|
| License Number | 12004725B |
| License Type | CSR-Dentist |
| License Status | Expired |
| City | HAMMOND |
| State | IN |