The holder whose full name is Cook, David Albert,come from Granger IN,hold the CSR-Dentist license(NO.12011046B) which status is Expired.
| Name | Cook, David Albert |
|---|---|
| License Number | 12011046B |
| License Type | CSR-Dentist |
| License Status | Expired |
| City | Granger |
| State | IN |