The holder whose full name is Higgins, Donald Keith,come from MICHIGAN CITY IN,hold the CSR-Dentist license(NO.12006200B) which status is Expired.
| Name | Higgins, Donald Keith |
|---|---|
| License Number | 12006200B |
| License Type | CSR-Dentist |
| License Status | Expired |
| City | MICHIGAN CITY |
| State | IN |