The holder whose full name is RADCLIFFE, CHARLES DANIEL,come from KENDALLVILLE IN,hold the CSR-Dentist license(NO.12004710B) which status is Expired.
| Name | RADCLIFFE, CHARLES DANIEL |
|---|---|
| License Number | 12004710B |
| License Type | CSR-Dentist |
| License Status | Expired |
| City | KENDALLVILLE |
| State | IN |