The holder whose full name is PARKER, CHAUNCEY C,come from ELWOOD IN,hold the CSR-Dentist license(NO.12004524B) which status is Expired.
| Name | PARKER, CHAUNCEY C |
|---|---|
| License Number | 12004524B |
| License Type | CSR-Dentist |
| License Status | Expired |
| City | ELWOOD |
| State | IN |