The holder whose full name is Slavin, Charles Phillip,come from Muncie IN,hold the CSR-Dentist license(NO.12006828B) which status is Expired.
| Name | Slavin, Charles Phillip |
|---|---|
| License Number | 12006828B |
| License Type | CSR-Dentist |
| License Status | Expired |
| City | Muncie |
| State | IN |