The holder whose full name is Douglas, David Wood,come from MICHIGAN CITY IN,hold the CSR-Dentist license(NO.12007853E) which status is Expired.
| Name | Douglas, David Wood |
|---|---|
| License Number | 12007853E |
| License Type | CSR-Dentist |
| License Status | Expired |
| City | MICHIGAN CITY |
| State | IN |