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