The holder whose full name is Heilman, David W.,come from La Porte IN,hold the CSR-Dentist license(NO.12008874B) which status is Expired.
| Name | Heilman, David W. |
|---|---|
| License Number | 12008874B |
| License Type | CSR-Dentist |
| License Status | Expired |
| City | La Porte |
| State | IN |