The holder whose full name is Benson, David James,come from Fort Wayne IN,hold the CSR-Dentist license(NO.12010723B) which status is Expired.
| Name | Benson, David James |
|---|---|
| License Number | 12010723B |
| License Type | CSR-Dentist |
| License Status | Expired |
| City | Fort Wayne |
| State | IN |