The holder whose full name is Sim, Chanbo,come from MICHIGAN CITY IN,hold the CSR-Dentist license(NO.12009372C) which status is Expired.
| Name | Sim, Chanbo |
|---|---|
| License Number | 12009372C |
| License Type | CSR-Dentist |
| License Status | Expired |
| City | MICHIGAN CITY |
| State | IN |