The holder whose full name is Block, Dennis A.,come from Valparaiso IN,hold the CSR-Dentist license(NO.12007573B) which status is Expired.
| Name | Block, Dennis A. |
|---|---|
| License Number | 12007573B |
| License Type | CSR-Dentist |
| License Status | Expired |
| City | Valparaiso |
| State | IN |