The holder whose full name is ENGLISH, ALLEN EDWARD,come from SOUTH BEND IN,hold the CSR-Dentist license(NO.12005206C) which status is Expired.
| Name | ENGLISH, ALLEN EDWARD |
|---|---|
| License Number | 12005206C |
| License Type | CSR-Dentist |
| License Status | Expired |
| City | SOUTH BEND |
| State | IN |